TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DAVID ROBBINS JR........................................................................ CHAIRMAN - DIRECTOR	1.0 .......................0.0	X	X	0	0
(2) BRUNO A BASILE........................................................................ VICE CHAIRMAN - DIRECTOR	1.0 .......................0.0	X	X	0	0
(3) GREGORY J FACEMYER CPA........................................................................ SECRETARY/TREASURER - DIRECTOR	1.0 .......................0.0	X	X	0	0
(4) EDWARD BETHEA........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(5) JOHN B CATALANO MD........................................................................ DIRECTOR	2.0 .......................0.0	X		8,178	0
(6) JOHN A DIANGELO........................................................................ DIRECTOR;PRES/CEO (EFF 1/1/14)	55.0 .......................0.0	X	X	781,444	466,977
(7) ROBERTA S FREITAG........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(8) EDGAR G GALLOWAY III........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(9) JEFFREY GEORGE........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(10) THOMAS A ISEKENEGBE PHD........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(11) MICHAEL A MCLAUGHLIN........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(12) LAWRENCE A PEPPER JR ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(13) PAUL J RITTER III........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(14) ARMANDO P RUSSO MD........................................................................ DIR - PRES MED STAFF (EFF 5/1)	2.0 .......................0.0	X		39,567	0
(15) JACK MSHIELDS MD........................................................................ DIRECTOR	1.0 .......................0.0	X		34,367	0
(16) KIMBERLY E WOOD........................................................................ DIRECTOR	1.0 .......................0.0	X		0	0
(17) DAVID W GALETTO MD........................................................................ DIR-PRES MED STAFF(1/1-4/30)	2.0 .......................0.0	X		9,000	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CHESTER B KALETKOWSKI........................................................................ DIRECTOR; PRES/CEO (1/1-3/31)	55.0 .......................0.0	X	X				2,032,741	57,689
(19) MICHAEL M ROSSI........................................................................ DIRECTOR (1/1 - 3/27)	1.0 .......................0.0	X					0	0
(20) EILEEN K CARDILE MS RN CNA........................................................................ TRUSTEE - EVP/PRES OF IMCW	55.0 .......................0.0		X				587,726	46,140
(21) THOMAS P BALDOSARO CPA........................................................................ EVP/CFO (EFFECTIVE 7/20/14)	55.0 .......................0.0		X				385,386	82,322
(22) MARVIN T WAY........................................................................ EVP OPERATIONS (EFF 9/29/14)	55.0 .......................0.0		X				153,647	34,399
(23) ROBERT E FLORENTINE........................................................................ SVP/CHIEF PEOPLE OFFICER	55.0 .......................0.0		X				341,464	119,104
(24) ELIZABETH A SHERIDAN........................................................................ COO - INSPIRA MED CTR VINELAND	55.0 .......................0.0		X				399,778	141,912
(25) DAVID YHLEN........................................................................ COO - ELMER	55.0 .......................0.0		X				290,777	27,817
(26) STEVEN C LINN MD........................................................................ CHIEF MEDICAL OFFICER	55.0 .......................0.0		X				434,888	81,637
(27) ROBERT M D'ANGEL ESQ........................................................................ GEN. COUNSEL (TERM 12/31/14)	55.0 .......................0.0		X				343,128	150,620
(28) MATTHEW DOONAN ESQ........................................................................ GEN. COUNSEL (EFF 9/15/14)	55.0 .......................0.0		X				52,656	11,688
(29) ARTHUR BOOTE........................................................................ VP AMBULATORY CARE	55.0 .......................0.0		X				332,179	98,490
(30) JOHN C BICKINGS........................................................................ VP FACILITIES & CONSTRUCTION	55.0 .......................0.0		X				329,120	123,970
(31) THOMAS PACEK........................................................................ VP/CIO	55.0 .......................0.0		X				290,483	53,165
(32) CLARE SAPIENZA-ECK........................................................................ VP BUS DEV & PHYSICIAN REL.	55.0 .......................0.0		X				271,835	94,919
(33) DAVID MURRAY........................................................................ VP FINANCE (EFF. 7/20/14)	55.0 .......................0.0		X				222,018	38,291
(34) CAROLYN S HECKMAN........................................................................ VP GOVERNMENT RELATIONS	55.0 .......................0.0		X				214,752	123,468
(35) ANNE MCCARTNEY........................................................................ VP PATIENT SERVICES - VINELAND	55.0 .......................0.0		X				202,356	68,477
(36) MIKOLE BURKE-ANDERSON........................................................................ VP CORPORATE COMPLIANCE/ETHICS	55.0 .......................0.0		X				172,955	30,690
(37) JANET DAVIES........................................................................ VP PATIENT SERVICES - ELMER	55.0 .......................0.0		X				155,524	43,995
(38) FRANCIS T FERRY MD........................................................................ MEDICAL DIRECTOR	55.0 .......................0.0			X			323,287	25,263
(39) JOHN W GRAHAM........................................................................ CHIEF OPERATING OFFICER - IMCW	55.0 .......................0.0				X		331,147	28,609
(40) GINA PETRONE MUMOLIE........................................................................ VP CHIEF NURSING EXEC - IMCW	55.0 .......................0.0				X		326,110	25,445
(41) EDWARD GRAY MD........................................................................ PHYSICIAN	55.0 .......................0.0				X		311,242	32,167
(42) ROBERT M GRIFE MD........................................................................ PHYSICIAN	55.0 .......................0.0				X		305,536	14,092
(43) JOSEPH M ALESSANDRINI........................................................................ AVP CLINICAL SERVICES	55.0 .......................0.0				X		222,391	60,661
(44) WAYNE C SCHIFFNER........................................................................ FORMER OFFICER	0.0 .......................0.0					X	748,466	0

(A) Name and business address	(B) Description of services	(C) Compensation
TRANSAMERICA, PO BOX 13029 NEWARK,NJ07188	RETIREMENT MGMT	14,631,576
SIEMENS MEDICAL SOLUTIONS, 51 VALLEY STREAM PARKWAY MALVERN,PA19355	IT	6,600,630
REGIONAL DIAGNOSTIC IMAGING LLC, PO BOX 2089 VINELAND,NJ08360	RADIOLOGY	6,313,215
REHABCARE GROUP INC, PO BOX 502096 ST LOUIS,MO63150	REHABILITATION	4,536,492
PHILIPS MEDICAL SYSTEMS NA, PO BOX 13029 ATLANTA,GA303840355	MEDICAL	2,588,270
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 254

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	95,241	95,241
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	10,022,132	9,019,919	1,002,213	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	154,172,743	138,755,469	15,417,274
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	9,244,398	8,319,958	924,440
9	Other employee benefits .......	27,350,991	24,615,892	2,735,099
10	Payroll taxes ...........	15,714,737	14,143,263	1,571,474
11	Fees for services (non-employees):
a	Management ......	710,620	639,558	71,062
b	Legal .........	1,046,959	942,263	104,696
c	Accounting ...........	0
d	Lobbying ...........	139,209	125,288	13,921
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	23,844,681	21,460,213	2,384,468
12	Advertising and promotion ....	3,894,024	3,505,122	388,902
13	Office expenses .......	6,156,608	5,540,947	615,661
14	Information technology ......	8,828,097	7,945,287	882,810
15	Royalties ..	0
16	Occupancy ...........	7,249,594	6,524,635	724,959
17	Travel ............	693,262	623,936	69,326
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	8,010,543	7,209,489	801,054
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	28,368,393	25,531,554	2,836,839
23	Insurance ..............	6,545,782	5,891,204	654,578
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	45,203,704	40,683,334	4,520,370
b	OUTSIDE SERVICES	11,953,733	10,758,360	1,195,373
c	REPAIRS & MAINTENANCE	5,213,299	4,691,969	521,330
d	DUES & SUBSCRIPTIONS	1,431,897	1,288,707	143,190
e	All other expenses	13,832,002	12,451,311	1,380,691
25	Total functional expenses. Add lines 1 through 24e	389,722,649	350,762,919	38,959,730	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	12,934	1	12,934
2	Savings and temporary cash investments .........	109,022,241	2	110,114,167
3	Pledges and grants receivable, net ...........	461,562	3	711,720
4	Accounts receivable, net .............	43,061,087	4	47,914,046
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	5,027	7	0
8	Inventories for sale or use ..............	4,209,184	8	4,285,850
9	Prepaid expenses and deferred charges ..........	4,647,412	9	6,358,014
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	517,075,233
b	Less: accumulated depreciation .....	10b	282,217,144	237,558,718	10c	234,858,089
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	281,309,732	13	295,456,870
14	Intangible assets ...............	1,431,411	14	1,392,843
15	Other assets. See Part IV, line 11 ...........	47,000,845	15	90,648,467
16	Total assets. Add lines 1 through 15 (must equal line 34)......	728,720,153	16	791,753,000
	17	Accounts payable and accrued expenses .........	75,030,537	17	79,864,000
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	158,517,048	20	154,366,551
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	30,752,570	23	24,925,234
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	83,942,910	25	111,275,074
26	Total liabilities. Add lines 17 through 25.........	348,243,065	26	370,430,859
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	374,092,088	27	414,741,141
28	Temporarily restricted net assets ...........	3,767,000	28	3,862,000
29	Permanently restricted net assets ...........	2,618,000	29	2,719,000
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	380,477,088	33	421,322,141
34	Total liabilities and net assets/fund balances ........	728,720,153	34	791,753,000

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization INSPIRA MEDICAL CENTERS INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization INSPIRA MEDICAL CENTERS INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

87,270

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Yes

51,939

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

139,209

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1G & 1H	DURING 2014, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $52,270 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE VP OF GOVERNMENT RELATIONS OF INSPIRA MEDICAL CENTER WOODBURY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $35,000. THE ORGANIZATION IS A MEMBER OF NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER WOODBURY). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $51,939 IN 2014.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1G & 1H

DURING 2014, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $52,270 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE VP OF GOVERNMENT RELATIONS OF INSPIRA MEDICAL CENTER WOODBURY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $35,000. THE ORGANIZATION IS A MEMBER OF NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER WOODBURY). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $51,939 IN 2014.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	6,385,000	6,324,000	6,533,000	6,882,000	6,934,000
b	Contributions ........	16,000	17,000	168,000	23,000	27,000
c	Net investment earnings, gains, and losses	190,000	298,000	430,000	-340,000	227,000
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	10,000	254,000	807,000	32,000	306,000
f	Administrative expenses ....
g	End of year balance ......	6,581,000	6,385,000	6,324,000	6,533,000	6,882,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

41.320 %

Temporarily restricted endowment SchDMd Bullet

58.680 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	9,093,019		9,093,019
b	Buildings ................	241,432,916	75,470,726	165,962,190
c	Leasehold improvements ............	1,208,727	1,018,178	190,549
d	Equipment ................	258,770,560	203,274,674	55,495,886
e	Other .................	6,570,011	2,453,566	4,116,445
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				234,858,089

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) PERPETUAL TRUSTS	4,782,890	F
(2) OREGANIZATION	1,695,603	F
(3) JOINT VENTURES	427,490	F
(4) LIMITED USE	2,475,849	F
(5) COMMINGLED FUNDS; LIMITED USE	71,008,000	F
(6) LIMITED USE	88,439,923	F
(7) LIMITED USE	66,080,000	F
(8) CORPORATE BONDS; LIMITED USE	29,293,518	F
(9) LIMITED USE	4,142,000	F
(10) LIMITED USE	13,181,354	F
(11) EXTERNALLY DESIGNATED	4,378,205	F
(12) BOND INDENTURE AGREEMENTS	9,552,038	F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	295,456,870

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) ORGANIZATIONS				45,873,000
(2) INSURANCE RECOVERY RECEIVABLE				38,437,093
(3) OTHER RECEIVABLES				3,160,926
(4) OTHER ASSETS				3,177,448





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				90,648,467

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
THIRD-PARTY PAYORS		31,241,392
OTHER LONG-TERM LIABILITIES		67,552,628
ORGANIZATIONS		2,555,472
ACCRUED INTEREST PAYABLE		3,992,582
ACCRUED RETIREMENT BENEFITS		5,933,000




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		111,275,074
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

SCHEDULE D, PART V; QUESTION 4

ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTERS, INC. AND INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, INC. FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2014 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 OR 2013. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("NETWORK"). THE NETWORK ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE 2014 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE NETWORK'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE NETWORK ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUReMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 OR 2013.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	14,025,655
















3a	Sub-total .....	1	1			14,025,655
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			14,025,655

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 550 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		9,335	7,019,768	2,624,712	4,395,056	1.130 %
b	Medicaid (from Worksheet 3, column a) ....		25,015	32,486,564	22,624,657	9,861,907	2.530 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .		19,137	10,679,449	523,183	10,156,266	2.610 %
d	Total Financial Assistance and Means-Tested Government Programs .		53,487	50,185,781	25,772,552	24,413,229	6.270 %
Other Benefits		66	185,283	4,090,703	944,170	3,146,533	0.810 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	66	185,283	4,090,703	944,170	3,146,533	0.810 %
f	Health professions education (from Worksheet 5) ..	18	679	13,588,376	6,085,945	7,502,431	1.930 %
g	Subsidized health services (from Worksheet 6) ..	8	430	3,077,010	961,198	2,115,812	0.540 %
h	Research (from Worksheet 7)	2		298,516		298,516	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	10	1,802	88,692		88,692	0.020 %
j	Total. Other Benefits ..	104	188,194	21,143,297	7,991,313	13,151,984	3.380 %
k	Total. Add lines 7d and 7j .	104	241,681	71,329,078	33,763,865	37,565,213	9.650 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	2	50	6,076		6,076
3	Community support	7	28,450	1,918,686	1,763,605	155,081	0.040 %
4	Environmental improvements	1	66	703		703
5	Leadership development and training for community members
6	Coalition building	6	3,256	49,312		49,312	0.010 %
7	Community health improvement advocacy	2	1,525	28,872		28,872	0.010 %
8	Workforce development	3	238	434,017		434,017	0.110 %
9	Other
10	Total	21	33,585	2,437,666	1,763,605	674,061	0.170 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

105,091,897

Enter Medicare allowable costs of care relating to payments on line 5.....

120,544,624

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-15,452,727

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1THE KIDNEY CENTER AT
2VINELAND LLC	MEDICAL SERVICES	50.000 %	50.000 %
3THE KIDNEY CENTER AT
4MILLVILLE LLC	MEDICAL SERVICES	50.000 %	50.000 %
5OAK & MAIN
6SURGICENTER LLC	MEDICAL SERVICES	85.000 %	15.000 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	INSPIRA MEDICAL CENTER VINELAND 1505 WEST SHERMAN AVENUE VINELAND,NJ08360 WWW.INSPIRAHEALTHNETWORK.ORG 10603	X	X	X	X	1
2	INSPIRA MEDICAL CENTER ELMER 425/475 FRONT STREET ELMER,NJ08318 WWW.INSPIRAHEALTHNETWORK.ORG 11701	X	X		X	1

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	INSPIRA MEDICAL CENTER VINELAND
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.inspirahealthnetwork.org

Other website (list url): www.healthycumberlandsalem.org

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	INSPIRA MEDICAL CENTER VINELAND
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 550.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	INSPIRA MEDICAL CENTER VINELAND
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCH H, PART V, SEC B, Q'S 3J,7D,13C,13H,15E,16I,18D,19D,21C,21D,22D,23&24	Not applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 5	INSPIRA MEDICAL CENTERS, INC. WORKED IN COLLABORTATION WITH THE CUMBERLAND/SALEM/GLOUCESTER HEALTH AND WELLNESS ALLIANCE ("THE ALLIANCE") TO UTILIZE SECONDARY DATA AND CONDUCT KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS TO IDENTIFY THE NEEDS OF THE COMMUNITY. THE ALLIANCE PAID PARTICULAR ATTENTION TO UNDERSERVED AND PRIORITY POPULATIONS AND INCLUDED A RANGE OF PUBLIC HEALTH EXPERTS IN THE PROCESS TO ASSURE THE ASSESSMENT WAS REPRESENTATIVE OF THE POPULATION AT LARGE.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B	INSPIRA MEDICAL CENTERS, INC. INCLUDES TWO HOSPITAL CAMPUSES, INSPIRA MEDICAL CENTER VINELAND & INSPIRA MEDICAL CENTER ELMBER. THESE TWO HOSPITAL CAMPUSES WORKED TOGETHER TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONALLY, Inspira Medical Centers, Inc. worked in collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance ("The Alliance") TO COMPLETE THE CHNA. THE ALLIANCE INCLUDES THE FOLLOWING MEMBERS: - CITY OF VINELAND HEALTH DEPARTMENT - COMPLETECARE HEALTH NETWORK - COUNTY OF CUMBERLAND - CUMBERLAND/CAPE/ATLANTIC YMCA - CUMBERLAND COUNTY 4-H YOUTH DEVELOPMENT PROGRAM, RUTGERS - CUMBERLAND COMMUNITY COLLEGE - CUMBERLAND COUNTY GUIDANCE CENTER - CUMBERLAND COUNTY TECHNICAL EDUCATION CENTER - CUMBERLAND COUNTY UNITED WAY - COUNTY OFFICES OF EDUCATION - CUMBERLAND DEVELOPMENT CORPORATION - CUMBERLAND COUNTY DEPARTMENT OF WORKFORCE DEVELOPMENT - CUMBERLAND COUNTY DEPARTMENT OF HEALTH - FAMCARE - GATEWAY COMMUNITY ACTION PARTNERSHIP - RUTGERS FOOD INNOVATION CENTER - SALEM COUNTY DEPARTMENT OF HEALTH - THE CEO GROUP
SCHEDULE H, PART V, SECTION B, QUESTION 11	The organization'S implementation strategy attached to this form 990 clearly identifies the significant needs identified in the most recently conducted ommunity health needs assessment. detail OF our current community health facts and information on whether or not the hospital facility plans to address those community health factors IS INCLUDED WITHIN THE IMPLEMENTATION STRATEGY. Some community needs were not directly addressed in the organization's implementation strategy, but will be indirectly affected through the initiatives for prioritized needs. Unemployment, poverty and crime are community concerns that are interwoven throughout the chosen prioritized needs. Whenever possible, the Alliance selected strategic plans that would not only address the priority areas, but also impact other community issues. Concerns of relationship and mental health, two community issues of importance, may not be addressed directly through strategies but are considered in the development of tactics to improve priority issues. please refer to the implementation strategy attached to this form 990 for additional information.
SCHEDULE H, PART V, SECTION B, QUESTION 20E	In addition to those actions listed in line 20, inspira medical centers, inc. also posts signs throughout the hospital which display the financial assistance policy.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?15
Name and address		Type of Facility (describe)
1	INSPIRA HEALTH CENTER BRIDGETON 333 IRVING AVENUE BRIDGETON,NJ08302	HEALTH CENTER AMBULATORY CARE INPATIENT PSYCH
2	INSPIRA IMAGING CENTER OF MILLVILLE 1001 N HIGH STREET MILLVILLE,NJ08332	HOSPITAL OUTPATIENT DEPARTMENT
3	INSPIRA IMAGING CENTER OF DELSEA 352 S DELSEA DRIVE VINELAND,NJ08360	HOSPITAL OUTPATIENT DEPARTMENT
4	INSPIRA HEALTH CENTER VINELAND 1038 CHESTNUT STREET VINELAND,NJ08360	HOSPITAL OUTPATIENT DEPARTMENT INDUSTRIAL HEALTH & OUTPATIENT REHABILIATION
5	INSPIRA SPORTS REHABCARE 1430 SHERMAN AVENUE VINELAND,NJ08360	REHABILITATION CLINIC
6	INSPIRA IMAGING CENTER OF MILLVILLE 608 N HIGH STREET MILLVILLE,NJ08332	HOSPITAL OUTPATIENT DEPARTMENT
7	INSPIRA IMAGING CENTER WEST SHERMAN MRI 994 W SHERMAN AVENUE VINELAND,NJ08361	HOSPITAL OUTPATIENT DEPARTMENT
8	INSPIRA VINELAND SLEEP CARE CENTER 1650 E CHESTNUT AVENUE VINELAND,NJ08361	OUTPATIENT DIAGNOSTIC FACILITY
9	INSPIRA WOUND CARE CENTER ELMER 501 W FRONT STREET ELMER,NJ08318	HOSPITAL OUTPATIENT DEPARTMENT
10	INSPIRA TOMLIN STATION IMAGING 201 TOMLIN STATION ROAD MULLICA HILL,NJ08062	OUTPATIENT DIAGNOSTIC FACILITY
11	INSPIRA ELMER SLEEP CARE CENTER 445 WEST FRONT STREET ELMER,NJ08318	OUTPATIENT DIAGNOSTIC FACILITY
12	INSPIRA EGG HARBOR SLEEP CARE CENTER 6712 WASHINGTON AVENUE EGG HARBOR TOWNSHIP,NJ08234	OUTPATIENT DIAGNOSTIC FACILITY
13	INSPIRA SPORTS REHAB CARE TOMLIN STATION 201 TOMLIN STATION ROAD SUITE D MULLICA HILL,NJ08062	REHABILITATION CLINIC
14	INSPIRA CHILD DEVELOPMENT CENTER 1138 E CHESTNUT STREET VINELAND,NJ08360	HOSPITAL OUTPATIENT DEPARTMENT
15	INSPIRA IMPACT PROGRAM 240 S 6TH STREET VINELAND,NJ08360	HOSPITAL OUTPATIENT DEPARTMENT

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C	The income based criteria used to determine eligibility is per New Jersey Administrative Code 10:52 sub chapters 11, 12 and 13, and based upon the 2014 poverty guidelines (Department of Health and Human Services). FPG are included in the criteria for determining eligibility for charity and discounted care.
SCHEDULE H, PART I; QUESTION 6A	An annual report is prepared and published by Inspira MEDICAL CENTERS, INC. ("IMC"). The report describes the community benefit programs and services that promote the health of the communities served by the health system. The annual written report is distributed to legislators, business leaders, civic community leaders, organizations and community partners. A downloadable version of the report is available on the organization's website, www.inspirahealthnetwork.org.
SCHEDULE H, PART I; QUESTION 7	THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART I, QUESTION 7g	Subsidized health service costs include an operating deficit of $50,232 for the Wound Care Center and $1,411,605 for outpatient mental health.
SCHEDULE H, PART II	Community building activities undertaken by Inspira Medical Centers, Inc. ("IMC") improve the medical and socioeconomic well-being of our communities. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. IMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients, community and providers. Physicians, nurses and other healthcare professionals dedicate their knowledge and time to insuring the community is well educated on topics promoting healthy living.
SCHEDULE H, PART III, SECTION A; QUESTION 4	The organization issued audited financial statements. The organization's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied. Below please find detailed information: Receivables for Patient Care ---------------------------- Patient accounts receivable for which the Hospital receives payment under cost reimbursement, prospective payment formulae or negotiated rates, which cover the majority of patient services, are stated at the estimated net amounts receivable from payors, which are generally less than the established billing rates of the Hospital. Patient accounts receivable are reported net of provisions based on management's assessment of historical and expected collections, business economic conditions, trends in healthcare coverage, and other collection indicators. For receivables associated with services provided to patients who have third-party coverage (which includes patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts, if necessary. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against net patient service revenue. The Hospital has not changed its financial assistance policy in 2014 or 2013. Charity Care ------------ IMC's patient acceptance policy is based on its mission statement and its charitable purposes. Accordingly, IMC accepts all patients regardless of their ability to pay. A patient is classified by IMC as a charity patient by reference to certain financial criteria established by the State of New Jersey and IMC's policy. IMC's charity care policy includes additional financial criteria which were established with the intent of expanding the availability of financial assistance. Because IMC does not believe that accounts which qualify for charity care are likely to be collected, they are not reported as net patient service revenue. The unreimbursed cost for services and supplies furnished to patients eligible for such charity care are determined through the use of cost to charge ratios in effect for IMC, and are as follows: 2014 2013 In accordance with the State of New Jersey's criteria: $ 10,156,000 $ 16,930,000 IMC's additional criteria $ 4,395,000 $ 19,035,000 ------------ ------------ Total $ 14,551,000 $ 35,965,000 ============ ============ IMC also sponsors certain other charitable programs, which provide substantial benefit to the broader community. Such programs include services to needy and elderly populations that require special support, as well as health promotion and education for the general community welfare. In addition, all other uncollectible amounts resulting from the patients' inability to pay, are recorded as a reduction to net patient service revenue, consistent with IMC's charity care policy.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Medicare costs were derived from the 2014 Medicare cost Report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The organization feels that Medicare underpayments (shortfall), bad debt and associated costs are community benefit and are includable on the form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the Community Benefit Standard promulgated by the IRS. The Community Benefit Standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the Department of the Treasury provides some guidance and states that "the term charitable is used in Section 501(c)(3) in its generally accepted legal sense," and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the Charity Care Standard. This standard was replaced by the IRS with the Community Benefit Standard which is the current standard. Charity Care Standard In 1956, the IRS issued Revenue Ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "Charity Care Standard." Under the standard, a hospital must provide, to the extent of its financial ability, free or reduced-cost care to patients who cannot pay for such services. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community Benefit Standard In 1969, the IRS issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." Under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by The Department of Treasury Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, Schedule H, Part I. This organization agrees with the AHA's position. As outlined in the AHA's letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard - Medicare, like Medicaid, does not pay the full cost of care. From the latest data provided by the American Hospital Association, as of 2012, Medicare reimburses hospitals only 86 cents for every dollar they spend to take care of Medicare patients. The Medicare Payment Advisory Commission ("MEDPAC"), in its March 2013 report to congress, states that beneficiaries will grow notably faster in the next 10 years than in the past decade as the baby-boom generation ages into the program. In addition, the population aging into the Medicare program will present a new set of challenges since rising obesity levels put this population at a greater risk than previous generations for chronic disease. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 42 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called "dual eligible." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - A significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessar
SCHEDULE H, PART III, SECTION B; QUESTION 9B	Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance. It is the policy of the Inspira Health Network to treat all patients equally regardless of insurance and their ability to pay.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUAL WHICH INCLUDES: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare services estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties. IMC conducts an extensive service area physician needs study (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. IMC collaborates with community partners to plan and conduct health needs assessments to assess and address health needs of the community it serves. The wide-based collaborative partnership retains an outside consulting firm to assess community data and perception. Community data is collected from county health profiles, health statistics, demographics, socioeconomic data, phone surveys, paper surveys and focus groups. From those assessments, community health improvement plans are published identifying the specific health priorities. Through a planned and organized effort, the group works collectively to address the priorities by tapping the resources of the community and collaborating on initiatives. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the hospital to discuss the health needs of the population.
SCHEDULE H, PART VI; QUESTION 3	The hospital's financial assistance information is communicated in both English and Spanish in a variety of ways, which includes signage throughout the hospital, emergency departments and registration areas; distribution of admission booklets and brochures describing the policy and how to apply for assistance; posting of the charity care program and financial assistance information on the hospital's website; and a statement added to all publications indicating the availability of charity care. Patients are given a financial assistance handout at registration/admission with information to contact financial counselors if they may have difficulty paying their hospital bill. All patients deemed self-pay are screened for financial assistance by a financial counselor according to the federal poverty guidelines and referred to appropriate agencies or programs. Interpretation services are available for patients needing information in languages other than English and Spanish.
SCHEDULE H, PART VI; QUESTION 4	INSPIRA MEDICAL CENTERS, INC. ("IMC") is the only not-for-profit healthcare system located in the southwestern region of New Jersey along the Delaware Bay. It is situated in a rural and urbanized area comprised of small cities, suburbs, vast wetlands and agricultural areas. IMC is a healthcare safety net provider of general acute and ambulatory healthcare services in a regional service area that encompasses primarily Cumberland and Salem Counties and portions of Gloucester and Atlantic Counties, covering a patient base of 376,000. Cumberland County has a population of 157,745 and Salem County has a population of 66,342 according to us census 2010 estimates. The population is a multifaceted community of diverse ethnic groups and industry, predominately Caucasian with specific communities home to higher populations of Hispanic and African American residents. According to 2010 us census, Cumberland County demographics are 65% Caucasian, 20% African American, 19% Hispanic; Salem county is 85% Caucasian, 15% African American, 4% Hispanic. Cumberland County's rapidly growing Hispanic population provides much of the county's farm labor; in particular, Bridgeton experienced a 560% increase in Mexican population from 1990 to 2000. The region's economy consists of a strong agricultural base with targeted industry sectors that include healthcare, construction, hospitality/tourism, food processing, glass making, manufacturing, a nuclear generating complex, one federal penitentiary and three state correctional facilities which, combined, house over 8,000 inmates. Of 21 counties in NJ, Cumberland County has the largest percentage of residents living below the federal poverty level, the highest unemployment rate, the highest teen pregnancy rate, and the lowest percentage of population with a college degree. Major areas in Cumberland County and all of Salem County are designated medically underserved areas and health professional shortage areas. Both Salem and Cumberland County have the two highest obesity rates in the state. IMC is recognized as a center of excellence in cancer services, cardiology center of care and bariatric surgery center of excellence. Vineland and Elmer Medical Centers are state-designated primary stroke centers. IMC Behavioral Health Services is the major provider of inpatient and outpatient services for the entire southern New Jersey region spanning nine counties. Patients receiving behavioral health services are primarily insured under Medicaid and Medicare.
SCHEDULE H, PART VI; QUESTION 5	Community building activities undertaken by this organization improve the medical and socio-economic well-being of the communities in our care. This is accomplished through numerous activities which are not a part of Part I Charity Care and other community benefits, and are not included elsewhere on Schedule H. These activities include programs that address the root causes of health problems such as education, poverty, unemployment, access to care, health advocacy and economic development. Economic Development - To help address poverty and unemployment and to take an active role in the regional economy and business outlook, the hospital offers the expertise and resources of its healthcare employees as active board members and participants in community organizations such as the Bridgeton, Millville, Vineland and Salem Chambers of Commerce, Bridgeton, Elmer and Vineland Rotaries and Cumberland and Salem County Economic Forums. Community Support - IMC's efforts to enhance community support networks include both community-based and facility-based initiatives. IMPACT (Innovative Model for Preschool and Community Teaming), a collaboration between IMC and the Vineland Board of Education, provides health and social services, preschool programs and literacy programs, targeting the needs of the low income residents in Cumberland County. Impact Teen Parenting Program provides parenting classes, childcare services, prenatal care and life skills education to teen parents and second pregnancy prevention. IMPACT School Based Youth Services Program (SBYSP), offers health services, tutoring, counseling, recreation and life skills training. The IMPACT Family Outreach Program, through three Family Worker Coordinators, provide training, supervision and support to roughly 40 Family Workers in the Abbott Preschools in Vineland, Millville and Bridgeton. Family Workers serve as the liaison between the child care center, the home and community agencies. The IMPACT Child Care Program provides childcare for infants and toddlers. Inspira's Family Success Centers are a program offered by IMPACT in Commercial Township and Vineland. They are designed to enrich the lives of children by strengthening families and neighborhoods, providing integrated, locally-based services, reducing isolation and promote connections among family and community and providing services in a warm and welcoming environment. IMC plans for disaster readiness above and beyond licensure requirements, including a decontamination room, a dedicated decon team and coordination of mass casualty drills involving different disaster scenarios in the community in collaboration with all first responders to address the major security concern related to the significant prison inmate population of 8,000 during disasterS. Environmental Improvements - The organization's Going Green Recycling initiative at all facilities system-wide improves the environment and helps the community by reducing waste, increasing recycling, conserving materials and purchasing recycled products. Inspira participates in the State of NJ Safe Syringe Disposal program, a community sharps disposal program that provides community residents with a method to safely dispose of home generated sharps. IMC maintains a campus-wide smoking ban at all IMC buildings, grounds and parking lots to improve the air quality, health and well-being of everyone in the surrounding communities. Coalition Building - IMC actively partners in community coalitions aimed at addressing health and safety issues. To address Cumberland County's teen pregnancy rate, which is 3 times the NJ state average, the Teen Pregnancy Prevention Initiative was formed through a collaborative partnership with IMC, CompleteCare Health Network (CCHN) and the county freeholders. SAFE (Sexual Accountability For Everyone), is the educational component of CCHN's plan to bring nurse practitioners into county middle and high schools and expand school-based services to include comprehensive health and gynecological services, peer & adult self-esteem programs, encourage responsible sexual behavior and provide tier-based counseling to target at-risk students. To address the particularly high childhood obesity rate, STEPS for kids was initiated as a collaboration between IMC, The Cumberland Cape Atlantic YMCA and the Robert Wood Johnson Foundation targeting children 8 to 12 with a BMI level at or above the 85th percentile who are at risk for obesity. The 12-week interactive program for children and their parents focuses on balanced meal plans and simple exercise techniques that help families achieve healthier lifestyles. To improve health risks associated with heart disease in our growing population of African American and Latino residents, IMC was one of 10 hospitals in NJ chosen by the Robert Wood Johnson Foundation to participate in a two-year, statewide initiative to improve the quality of cardiac care, share and apply best practices for treating patients with heart failure and communicate strategies and lessons learned to policymakers and healthcare providers. IMC initiated an Extended Care Facilities Forum to build a positive relationship between the hospital, neighboring nursing care facilities and the community to assist each other in offering a seamless continuum of care in light of healthcare reform changes. IMC partnered with the Salem Health and Wellness Foundation to provide digital mammography to the uninsured and health underserved residents of Salem County, who would not otherwise utilize this preventive screening tool until their breast cancer was at a later stage. Community Health Improvement Advocacy - Various levels of IMC staff serve on government advisory committees and boards for national, state and local organizations to advocate for healthcare reform, bring about changes in regulatory requirements, advocate for improved access to healthcare and promote health status for both the broader community and vulnerable populations. IMC is represented at organizations such as the Advocates for Children of NJ, American Hospital Association, Cumberland Inter-Agency Council, Human Services Advisory Council, National Association for Home Care & Hospice, NJ Association of Mental Health Agencies, NJ Division of Mental Health Services, NJ Hospital Association, Salem Inter-Agency Council, Southern NJ Perinatal Cooperative and Voluntary Hospitals of America. Workforce Development - IMC is committed to recruiting experienced physicians and health professionals into our community, which is identified as a medically underserved area (MUA), to ensure that residents have access to the specialized care they need. Responding to a shortage of obstetricians, IMC recruited additional ob/gyns into a medically underserved area. New physician specialties added include urogynecology, oncologic urology, gynecologic oncology and oncologic breast surgery. To promote student exploration of healthcare careers in an area with a traditionally high jobless rate, IMC provides events promoting careers in healthcare and collaborates on healthcare career programs with Medical Explorers and Pinelands Learning Center. IMC developed an Employer Forum for employers throughout Cumberland County to address and discuss medical issues, employee health, safety and wellness of the workforce population.
SCHEDULE H, PART VI; QUESTION 6	Outlined below is a summary of the entities which comprise the Inspira Health Network: Not for profit Inspira Health Network entities ============================================== Inspira Health Network, Inc. ---------------------------- Inspira Health Network, Inc. ("Network") is the tax-exempt parent of the Inspira Health Network ("System"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either the network or another network affiliate controlled by the network. The network is an integrated network of healthcare providers throughout the State of New Jersey and is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). Inspira Medical Centers, Inc. ----------------------------- Inspira Medical Centers, Inc. ("IMC") is comprised of two acute care and two hospital-based ambulatory care centers. Inspira Medical Center Vineland, located in Vineland, Cumberland County, New Jersey, is a 276-bed acute care facility with 59 psychiatric beds located at Inspira Health Center Bridgeton. Inspira Medical Centers Elmer is a 96-bed acute care facility located in Elmer, Salem County, New Jersey. IMC is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, IMC operates consistently with the criteria outlined in IRS revenue ruling 69-545. Inspira Medical Center Woodbury, Inc. ------------------------------------- Inspira Medical Center Woodbury, Inc. ("IMCW") is located in Woodbury, Gloucester County, New Jersey, is a 305-bed acute care facility. IMCW has over 1,750 full time and part time employees and a medical staff over 450. IMCW is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMCW provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, IMCW operates consistently with the criteria outlined in IRS revenue ruling 69-545. Inspira Homecare & Hospicecare, Inc. ------------------------------------ Inspira Homecare & Hospicecare, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization provides care and support for terminally ill patients and their families in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Inspira Health Network Life, Inc. --------------------------------- Inspira Health Network Life, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization provides healthcare services in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Tri-county Cardiovascular Services, P.C. ---------------------------------------- Tri-county Cardiovascular Services, P.C. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a(1). The organization supports Inspira Medical Center Woodbury, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. By practicing medicine, engaging in medical education and working to improve the welfare of individuals in New Jersey, the organization comprises a component of the clinical service physician practice plans of Inspira Medical Center Woodbury, Inc. and is an integral part of Inspira Medical Center Woodbury, Inc. Inspira Health Connections, P.C. -------------------------------- Inspira Health Connections, P.C. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a(1). The organization supports Inspira Medical Center Woodbury, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. PRIOR TO 2014 THE ORGANIZATION practicED medicine, engagED in medical education and workED to improve the welfare of individuals in New Jersey. DURING 2013, THE ORGANIZATION TRANSFERRED ITS PERSONNEL AND OPERATIONS TO INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. Inspira Health Network Foundation Cumberland/Salem, Inc. -------------------------------------------------------- Inspira Health Network Foundation Cumberland/Salem, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of Inspira Health Network, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Inspira Health Network Foundation Gloucester County, Inc. --------------------------------------------------------- Inspira Health Network Foundation Gloucester County, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of Inspira Health Network, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Inspira Management Services, L.L.C. ----------------------------------- Inspira Management Services, L.L.C. is a limited liability company formed in the State of New Jersey whose sole memeber is Inspira Health Network, Inc. CUMBERLAND/SALEM/GLOUCESTER HEALTH AND WELLNESS ALLIANCE, INC. ------------------------------------------------------------- CUMBERLAND/SALEM/GLOUCESTER HEALTH AND WELLNESS ALLIANCE, INC. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). The Cumberland/Salem/Gloucester Health and Wellness Alliance, Inc. was formed after the release of the 2010 New Jersey County Health Rankings by The Robert Wood JOHNSON Foundation and The University of Wisconsin in response to their position in the rankings. In October of 2011, the Alliance was officially granted 501(c)(3) tax-exempt status. The Alliance consists of a multi-countywide group of community based stakeholders and diverse organizations that are committed to improving the health of residents in Cumberland, Salem and Gloucester Counties so that healthy lifestyles and healthy choices are a way of life. The Alliance will assist in assessing the communities health situation, to make policy recommendations and to coordinate necessary services that will improve the health status of the population. The Alliance hopes to positively influence unhealthy behaviors through education, policy and environmental changes that encourage more community members to improve dietary habits, increase physical activity, manage their risk for chronic illnesses and avoid unhealthy behaviors, especially among disadvantaged, underserved and vulnerable populations at highest risk for health disparities. For profit Inspira Health Network entities ========================================== Bridgeton Physicians Office Center, L.P. ---------------------------------------- Bridgeton Physicians Office Center, L.P. is a partnership owned by Inspira Health Network affiliates. This organization engages in real estate activity. Inspira Help Services, Inc. --------------------------- I
SCHEDULE H, PART VI; QUESTION 7	Not applicable.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
INSPIRA MEDICAL CENTERS INC

Employer identification number
21-0634484

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I; QUESTION 2	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
SCHEDULE I, PART II	PLEASE NOTE THAT ALL GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER ORGANIZATIONS WERE LESS THAN OR EQUAL TO $5,000 EACH. THEREFORE, THERE ARE NO ORGANIZATIONS LISTED IN SCHEDULE I, PART II. THE TOTAL AMOUNTS PAID FOR CONTRIBUTIONS AND EVENT SPONSORSHIPS CAN BE FOUND ON CORE FORM, PART X, LINE 1.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOHN A DIANGELODIRECTOR;PRES/CEO (EFF 1/1/14)	(i) (ii)	574,730 ............................... 0	104,400 ............................... 0	102,314 ............................... 0	430,410 ............................... 0	36,567 ............................... 0	1,248,421 ............................... 0	0 ............................... 0
2CHESTER B KALETKOWSKIDIRECTOR; PRES/CEO (1/1-3/31)	(i) (ii)	386,726 ............................... 0	0 ............................... 0	1,646,015 ............................... 0	46,328 ............................... 0	11,361 ............................... 0	2,090,430 ............................... 0	763,156 ............................... 0
3EILEEN K CARDILE MS RN CNATRUSTEE - EVP/PRES OF IMCW	(i) (ii)	408,432 ............................... 0	108,212 ............................... 0	71,082 ............................... 0	32,547 ............................... 0	13,593 ............................... 0	633,866 ............................... 0	0 ............................... 0
4THOMAS P BALDOSARO CPAEVP/CFO (EFFECTIVE 7/20/14)	(i) (ii)	293,482 ............................... 0	39,446 ............................... 0	52,458 ............................... 0	55,505 ............................... 0	26,817 ............................... 0	467,708 ............................... 0	0 ............................... 0
5MARVIN T WAYEVP OPERATIONS (EFF 9/29/14)	(i) (ii)	103,957 ............................... 0	45,000 ............................... 0	4,690 ............................... 0	22,327 ............................... 0	12,072 ............................... 0	188,046 ............................... 0	0 ............................... 0
6ROBERT E FLORENTINESVP/CHIEF PEOPLE OFFICER	(i) (ii)	235,756 ............................... 0	52,594 ............................... 0	53,114 ............................... 0	94,985 ............................... 0	24,119 ............................... 0	460,568 ............................... 0	0 ............................... 0
7ELIZABETH A SHERIDANCOO - INSPIRA MED CTR VINELAND	(i) (ii)	290,240 ............................... 0	52,971 ............................... 0	56,567 ............................... 0	115,319 ............................... 0	26,593 ............................... 0	541,690 ............................... 0	0 ............................... 0
8DAVID YHLENCOO - ELMER	(i) (ii)	236,446 ............................... 0	36,135 ............................... 0	18,196 ............................... 0	9,692 ............................... 0	18,125 ............................... 0	318,594 ............................... 0	0 ............................... 0
9STEVEN C LINN MDCHIEF MEDICAL OFFICER	(i) (ii)	327,469 ............................... 0	69,622 ............................... 0	37,797 ............................... 0	52,117 ............................... 0	29,520 ............................... 0	516,525 ............................... 0	0 ............................... 0
10ROBERT M D'ANGEL ESQGEN. COUNSEL (TERM 12/31/14)	(i) (ii)	269,969 ............................... 0	31,016 ............................... 0	42,143 ............................... 0	122,305 ............................... 0	28,315 ............................... 0	493,748 ............................... 0	0 ............................... 0
11ARTHUR BOOTEVP AMBULATORY CARE	(i) (ii)	250,193 ............................... 0	43,765 ............................... 0	38,221 ............................... 0	76,937 ............................... 0	21,553 ............................... 0	430,669 ............................... 0	0 ............................... 0
12JOHN C BICKINGSVP FACILITIES & CONSTRUCTION	(i) (ii)	252,088 ............................... 0	39,364 ............................... 0	37,668 ............................... 0	101,315 ............................... 0	22,655 ............................... 0	453,090 ............................... 0	0 ............................... 0
13THOMAS PACEKVP/CIO	(i) (ii)	238,924 ............................... 0	28,474 ............................... 0	23,085 ............................... 0	32,135 ............................... 0	21,030 ............................... 0	343,648 ............................... 0	0 ............................... 0
14CLARE SAPIENZA-ECKVP BUS DEV & PHYSICIAN REL.	(i) (ii)	189,719 ............................... 0	25,380 ............................... 0	56,736 ............................... 0	71,742 ............................... 0	23,177 ............................... 0	366,754 ............................... 0	0 ............................... 0
15DAVID MURRAYVP FINANCE (EFF. 7/20/14)	(i) (ii)	174,086 ............................... 0	14,025 ............................... 0	33,907 ............................... 0	20,271 ............................... 0	18,020 ............................... 0	260,309 ............................... 0	0 ............................... 0
16CAROLYN S HECKMANVP GOVERNMENT RELATIONS	(i) (ii)	167,878 ............................... 0	13,895 ............................... 0	32,979 ............................... 0	108,207 ............................... 0	15,261 ............................... 0	338,220 ............................... 0	0 ............................... 0
17ANNE MCCARTNEYVP PATIENT SERVICES - VINELAND	(i) (ii)	170,805 ............................... 0	21,241 ............................... 0	10,310 ............................... 0	55,669 ............................... 0	12,808 ............................... 0	270,833 ............................... 0	0 ............................... 0
18MIKOLE BURKE-ANDERSONVP CORPORATE COMPLIANCE/ETHICS	(i) (ii)	140,324 ............................... 0	13,663 ............................... 0	18,968 ............................... 0	16,917 ............................... 0	13,773 ............................... 0	203,645 ............................... 0	0 ............................... 0
19JANET DAVIESVP PATIENT SERVICES - ELMER	(i) (ii)	137,640 ............................... 0	16,699 ............................... 0	1,185 ............................... 0	30,853 ............................... 0	13,142 ............................... 0	199,519 ............................... 0	0 ............................... 0
20FRANCIS T FERRY MDMEDICAL DIRECTOR	(i) (ii)	321,255 ............................... 0	0 ............................... 0	2,032 ............................... 0	6,601 ............................... 0	18,662 ............................... 0	348,550 ............................... 0	0 ............................... 0
21JOHN W GRAHAMCHIEF OPERATING OFFICER - IMCW	(i) (ii)	287,294 ............................... 0	34,633 ............................... 0	9,220 ............................... 0	14,667 ............................... 0	13,942 ............................... 0	359,756 ............................... 0	0 ............................... 0
22GINA PETRONE MUMOLIEVP CHIEF NURSING EXEC - IMCW	(i) (ii)	261,963 ............................... 0	30,739 ............................... 0	33,408 ............................... 0	5,200 ............................... 0	20,245 ............................... 0	351,555 ............................... 0	0 ............................... 0
23EDWARD GRAY MDPHYSICIAN	(i) (ii)	297,023 ............................... 0	13,769 ............................... 0	450 ............................... 0	12,240 ............................... 0	19,927 ............................... 0	343,409 ............................... 0	0 ............................... 0
24ROBERT M GRIFE MDPHYSICIAN	(i) (ii)	300,709 ............................... 0	168 ............................... 0	4,659 ............................... 0	115 ............................... 0	13,977 ............................... 0	319,628 ............................... 0	0 ............................... 0
25JOSEPH M ALESSANDRINIAVP CLINICAL SERVICES	(i) (ii)	187,503 ............................... 0	15,189 ............................... 0	19,699 ............................... 0	46,347 ............................... 0	14,314 ............................... 0	283,052 ............................... 0	0 ............................... 0
26WAYNE C SCHIFFNERFORMER OFFICER	(i) (ii)	0 ............................... 0	0 ............................... 0	748,466 ............................... 0	0 ............................... 0	0 ............................... 0	748,466 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDE PARTICIPATION IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHESTER B. KALETKOWSKI, $1,643,905; and WAYNE C. SCHIFFNER, $748,466. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $352,200; THOMAS P. BALDOSARO, CPA, $28,269; MARVIN T. WAY, $22,327; ROBERT E. FLORENTINE, $46,242; ELIZABETH A. SHERIDAN, $36,114; STEVEN C. LINN, M.D., $23,279; ROBERT M. D'ANGEL, ESQ., $46,351; ARTHUR BOOTE, $37,438; JOHN C. BICKINGS, $44,882; CLARE SAPIENZA-ECK, $25,037 AND CAROLYN S. HECKMAN, $41,957.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN B(III)	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED COMPENSATION WITH RESPECT TO PAID TIME OFF, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II; COLUMN F	THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THIS AMOUNT WAS REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON HIS 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHESTER B. KALETKOWSKI, $763,156.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
INSPIRA MEDICAL CENTERS INC

Employer identification number
21-0634484

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	21-0634484	64579FDB6	06-24-2004	15,075,000	TCU AND CTC CONSTRUCTION		X		X		X
B	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-2845542	64579FJG9	11-08-2006	147,675,671	REFINANCE 2002 BONDS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	15,075,000		147,675,671
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		146,196,562
7 Issuance costs from proceeds . . . . . . . . . . . .	118,399		1,479,109
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0
9 Working capital expenditures from proceeds . . . . . . . . .	13,500		0
10 Capital expenditures from proceeds . . . . . . . . . . .	14,943,101		0
11 Other spent proceeds . . . . . . . . . . . . . .	0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0
13 Year of substantial completion . . . . . . . . . . . .	2004		2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %
7 Does the bond issue meet the private security or payment test? . . . . .	X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .	X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X		X
c No rebate due? . . . . . . . .
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . . .	0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X
b Name of provider . . . . . . . . .	0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) CUMBERLAND INT MED	BOARD MEMBER - COMP.	PRACTICE SUPPORT		X	41,554	190,665		No	Yes		Yes





Total ...... $						190,665

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) LYNN M KENNY	FAMILY MEMBER OF DIRECTOR	68,086	EMPLOYEE		No
(2) THEODORA T ISEKENEGBE	FAMILY MEMBER OF DIRECTOR	60,273	EMPLOYEE		No
(3) DAVID SHIELDS MD	FAMILY MEMBER OF DIRECTOR	71,659	PHYSICIAN SERVICES		No
(4) MARY G GALETTO	FAMILY MEMBER OF DIRECTOR	25,365	EMPLOYEE		No
(5) CUMBERLAND INTERNAL MEDICINE	COMPANY OF DIRECTOR	352,860	MEDICAL SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

CORE FORM, PART VI, SECTION A; QUESTION 1 AND SCHEDULE L; PART IV

THE ORGANIZATION IS AN AFFILIATE WITHIN THE INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. FOR THE PERIOD JANUARY 1, 2014 THROUGH DECEMBER 31, 2014 AND DURING THE ORDINARY COURSE OF BUSINESS, THE ORGANIZATION MAY ENGAGE IN ONE OR MORE TRANSACTIONS WITH COMPANIES THAT: (1) ARE OWNED BY AN INDIVIDUAL WHO IS A MEMBER OF THE BOARD OF DIRECTORS OF THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION, (2) ARE OWNED BY A FAMILY MEMBER OF AN INDIVIDUAL WHO IS A MEMBER OF THE BOARD OF DIRECTORS OF THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION, OR (3) WHEREIN A BOARD MEMBER OF THIS ORGANIZATION OR A FAMILY MEMBER OF A BOARD MEMBER OF THIS ORGANIZATION IS EITHER AN OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE OF A COMPANY WITH WHICH THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION TRANSACTS BUSINESS. IN THESE SITUATIONS, ANY GOODS PURCHASED OR SERVICES PERFORMED ARE DONE SO AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. ANY SUCH TRANSACTIONS ARE DISCLOSED TO, REVIEWED AND APPROVED BY THE NETWORK'S GOVERNANCE COMMITTEE. THE ORGANIZATION MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE AND USES REASONABLE EFFORTS TO OBTAIN THIS INFORMATION FROM THE MEMBERS OF ITS BOARD OF DIRECTORS. THE ORGANIZATION FOLLOWS A FORMALIZED BID PROCESS WHEREIN ALL TRANSACTIONS OF THIS NATURE ARE SENT OUT TO BID. IF IT IS DETERMINED THAT THE ORGANIZATION WILL ENTER INTO A TRANSACTION IDENTIFIED ABOVE, IT IS SENT TO THE NETWORK'S GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. THE INTERESTED PERSON IN THESE CASES RECUSES THEMSELVES FROM THE VOTING PROCESS. THIS RECUSAL PROCESS IS OUTLINED IN THE ORGANIZATION'S WRITTEN CONFLICT OF INTEREST POLICY WHICH ALL BOARD MEMBERS AND SENIOR MANAGEMENT REVIEW ANNUALLY. DURING 2014 THE ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION ENGAGED IN THE FOLLOWING TRANSACTIONS WITH INTERESTED PERSONS: PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $515,285 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $426,904 TO SOUTH JERSEY GAS COMPANY FOR UTILITIES DURING 2014. DAVID ROBBINS, JR. IS AN OFFICER OF SOUTH JERSEY INDUSTRIES AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $17,824 TO CUMBERLAND COUNTY TECHNICAL EDUCATION CENTER DURING 2014. DAVID ROBBINS, JR. IS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. AND HIS SPOUSE IS AN OFFICER OF CUMBERLAND COUNTY TECHNICAL EDUCATION CENTER. BRUNO A. BASILE HAS A DAUGHTER THAT IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. AS A PHARMACIST FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $68,086 DURING 2014. BRUNO A. BASILE IS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THE KIDNEY CENTER AT MILLVILLE, L.L.C.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES HAS A DEPOSITORY ACCOUNT AND AN OUTSTANDING LOAN WITH COLONIAL BANK. INSPIRA MEDICAL CENTERS, INC. IS A 50% MEMBER OF THE KIDNEY CENTER AT MILLVILLE, L.L.C. AND GUARANTOR OF 50% OF THE LOAN. THE TOTAL BALANCE OF THE LOAN AS OF DECEMBER 31, 2014 WAS $1,243,804. GREGORY J. FACEMYER, CPA AND PAUL J. RITTER, III ARE BOTH MEMBERS OF THE BOARD OF DIRECTORS FOR COLONIAL BANK AND MEMBERS OF THE BOARD OF DIRECTORS FOR INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $40,759 TO GATEWAY COMMUNITY ACTION PARTNERSHIP DURING 2014. EDWARD BETHEA IS AN EMPLOYEE OF GATEWAY COMMUNITY ACTION PARTNERSHIP AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $1,000 TO BRIDGETON MAIN STREET DURING 2014. EDWARD BETHEA IS A BOARD MEMBER OF BRIDGETON MAIN STREET AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $30,194 TO PREMIER ORTHOPEDIC SURGICAL CENTER FOR MEDICAL SERVICES DURING 2014. JOHN CATALANO, M.D. IS AN EMPLOYEE OF PREMIER ORTHOPEDIC SURGICAL CENTER AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $5,284 TO RENTAL COUNTRY, INC. FOR MEDICAL EQUIPMENT RENTALS DURING 2014. EDGAR G. GALLOWAY, III IS AN OWNER OF RENTAL COUNTRY, INC. AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $14,227 TO CUMBERLAND CAPE ATLANTIC YMCA FOR CERTAIN PUBLIC HEALTH INITIATIVES. EDGAR G. GALLOWAY, III IS A BOARD MEMBER OF CUMBERLAND CAPE ATLANTIC YMCA AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. ADDITIONALLY, PETER GALETTO, JR. IS A BOARD MEMBER OF CUMBERLAND CAPE ATLANTIC YMCA AND IS ALSO THE COUSIN OF DAVID W. GALETTO, M.D.; A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $8,468 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $7,248 TO GREATER VINELAND CHAMBER OF COMMERCE DURING 2014. JEFFREY GEORGE IS A BOARD MEMBER OF GREATER VINELAND CHAMBER OF COMMERCE AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THOMAS ISEKENEGBE, M.D. HAS A DAUGHTER THAT IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $60,273 DURING 2014. THOMAS ISEKENEGBE, M.D. IS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $156,216 TO CUMBERLAND COUNTY COLLEGE FOR VARIOUS SERVICES. THOMAS ISEKENEGBE, M.D. IS AN EMPLOYEE OF CUMBERLAND COUNTY COLLEGE AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC & AFFILIATES IN THE AMOUNT OF $36,177 TO TAVISTOCK COUNTRY CLUB DURING 2014. MICHAEL A. MCLAUGHLIN WAS A BOARD MEMBER OF TAVISTOCK COUNTRY CLUB UNTIL APRIL 30, 2014 AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $500 TO CUMBERLAND COUNTY GUIDANCE CENTER DURING 2014. LAWRENCE A. PEPPER, JR., ESQ., IS A BOARD MEMBER OF CUMBERLAND COUNTY GUIDANCE CENTER AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $71,659 TO DAVID SHIELDS, M.D. FOR PHYSICIAN SERVICES. JACK M. SHIELDS, M.D. IS THE BROTHER OF DAVID SHIELDS, M.D. AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $4,000 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $3,820 TO BRIDGETON AREA CHAMBER OF COMMERCE DURING 2014. KIMBERLY E. WOOD IS A BOARD MEMBER OF BRIDGETON AREA CHAMBER OF COMMERCE AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC DAVID W. GALETTO, M.D.'S SPOUSE IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. AS A PER-DIEM NURSE FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $25,365 DURING 2014. DAVID W. GALETTO, M.D. WAS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC UNTIL APRIL 30, 2014. LENDING OF MONEY PURSUANT TO A PRACTICE SUPPORT AGREEMENT BETWEEN INSPIRA MEDICAL CENTERS, INC. AND CUMBERLAND INTERNAL MEDICINE. THE ORIGINAL AMOUNT OF THE LOAN WAS $41,554. THE LOAN WAS SET UP IN ORDER TO ASSIST THE PRACTICE IN THE OPERATION OF INTERNAL MEDICINE/INFECTIOUS DISEASE SERVICES. THE TOTAL AMOUNT DUE FROM THE PRACTICE AT DECEMBER 31, 2014 WAS $190,665. DAVID W. GALETTO, M.D IS AN EMPLOYEE OF CUMBERLAND INTERNAL MEDICINE AND WAS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC UNTIL APRIL 30, 2014. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $503,760 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $352,860 TO CUMBERLAND INTERNAL MEDICINE FOR MEDICAL SERVICES DURING 2014. DAVID W. GALETTO, M.D. IS AN EMPLOYEE OF CUMBERLAND INTERNAL MEDICINE AND WAS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC UNTIL APRIL 30, 2014. SYSTEM ENTITIES HAVE BORROWED FUNDS FROM SUN NATIONAL BANK. INSPIRA MEDICAL CENTERS, INC. HAS AN OUTSTANDING UEZ LOAN WITH SUN NATIONAL BANK WITH A PRINCIPAL BALANCE OF $340,890 AT DECEMBER 31, 2014. PETER GALETTO, JR., COUSIN OF DAVID W. GALETTO, M.D., IS A BOARD MEMBER OF SUN NATIONAL BANK. IN ADDITION, BRANDON KALETKOWSKI, SON OF CHESTER B. KALETKOWSKI, IS AN EMPLOYEE OF SUN NATIONAL BANK. DAVID W. GALETTO, M.D. AND CHESTER B. KALETKOWSKI WERE BOARD MEMBERS OF INSPIRA MEDICAL CENTERS, INC THROUGH APRIL 30, 2014 AND MARCH 31, 2014, RESPECTIVELY.

CORE FORM, PART VI, SECTION A; QUESTION 1 AND SCHEDULE L; PART IV

PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $4,679 TO STANKER AND GALETTO, INC. DURING 2014 FOR RENOVATIONS AND CONSTRUCTION SERVICES. PETER GALETTO, JR. IS THE PRESIDENT OF STANKER AND GALETTO, INC. AND COUSIN OF DAVID W. GALETTO, M.D.; A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THROUGH APRIL 30, 2014. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $31,602 TO SJHCMOB REALTY, LLC DURING 2014. PETER GALETTO, JR. IS A PARTNER IN SJHCMOB REALTY, LLC AND COUSIN OF DAVID W. GALETTO, M.D.; A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THROUGH APRIL 30, 2014. INSPIRA MEDICAL CENTERS, INC. RENTS OFFICE SPACE AT THE ELMER MEDICAL OFFICE BUILDING FROM GALETTO REALTY COMPANY, LP. TOTAL PAYMENTS TO GALETTO REALTY COMPANY, LP AMOUNTED TO $187,421 DURING 2014. PETER GALETTO, JR. IS A PARTNER IN GALETTO REALTY COMPANY, LP AND COUSIN OF DAVID W. GALETTO, M.D.; A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THROUGH APRIL 30, 2014. PAYMENT BY INSPIRA HEALTH NETWORK, INC & AFFILIATES IN THE AMOUNT OF $177,977 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $17,376 TO PERFORMANCE MARKETING FOR MARKETING SERVICES DURING 2014. MICHAEL M. ROSSI, III'S SPOUSE IS A CONSULTANT OF PERFORMANCE MARKETING. MICHAEL M. ROSSI, III WAS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THROUGH MARCH 27, 2014. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $150 TO BOLLINGER INSURANCE FOR INSURANCE SERVICES DURING 2014. MICHAEL M. ROSSI, III IS AN EMPLOYEE OF BOLLINGER INSURANCE AND WAS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THROUGH MARCH 27, 2014.

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== Inspira Medical Centers, Inc. ("IMC") is a provider of general acute and ambulatory healthcare services based in Cumberland and Salem County, New Jersey. IMC is recognized by the IRS as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, IMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2. Operates 3 active emergency DEPARTMENTS for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a specialized pediatric emergency department in the Vineland facility; 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of IMC rests with its board of directors and the board of directors of Inspira Health Network, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of IMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of IMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. IMC provides healthcare services to all individuals regardless of ability to pay. Moreover, IMC provides healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health and Human Services without charge or at amounts less than established rates. IMC maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. As the sole provider of essential health services, IMC provides an essential safety net for our communities, assuring that patients receive both the care and financial help they need. IMC is the area's only non-profit health system and major provider of charity care for families without health insurance. IMC is an integrated healthcare delivery system comprised of medical centers, community health clinics, urgent care facilities, home health services, and specialty services that serve the healthcare needs of our community. PATIENT STATISTICAL INFORMATION ================================= IMC provides care to a patient base spread out over five southern New Jersey counties. With facilities in Cumberland and Salem Counties, IMC serves as the only not-for-profit acute care facility in both of those counties, accounting for over 376,000 persons, IMC is comprised of two acute care facilities and two hospital-based ambulatory care centers. Inspira Medical Center Vineland is located in Vineland, New Jersey, Cumberland County. It is a 276-bed acute care facility with 59 psychiatric beds located at the Inspira Health Center Bridgeton. Inspira Medical Center Elmer is a 96-bed acute care facility located in Elmer, New Jersey, Salem County. Additionally, IMC provides ambulatory services at two locations in Cumberland County, which are Inspira Health Center Bridgeton and the Inspira Medical Center Vineland. These ambulatory care centers provide a wide range of diagnostic and therapeutic services, including a 24/7 satellite emergency department and chronic dialysis services at Inspira Health Center Bridgeton, physical rehabilitation services, occupational medicine, laboratory and radiology services. In 2014, IMC performed 18,309 surgeries, 159,369 physical therapy treatments, 31,654 occupational health visits, 16,291 dialysis treatments, 243,162 diagnostic imaging procedures, 22,432 radiation therapy treatments and 106,834 emergency room visits. Also in 2014, inpatient admissions were 19,562 for adults and pediatrics, 177 for special care nursery, 185 for neonatal intensive care unit, 1,712 for mental health and 2,415 births. QUALITY AWARDS AND RECOGNITION ============================== In addition to providing a wide scope of services, IMC takes great pride in providing high quality, patient focused care to its communities. These efforts have been recognized at both a local and national level through a variety of awards, recognitions and accreditations, which include: Recognition for our commitment to excellence -------------------------------------------- We're proud at IMC to have received numerous accolades for excellence in healthcare. It is a reflection of our commitment to best practices and evidence-based care; supporting continuing education and staff recruitment; investing in leading edge technology; and recruiting primary care physicians, specialists and subspecialists to meet the needs of our communities. As one of the region's largest healthcare providers, we are pleased to share some of our most recent awards: Accredited Chest Pain Center - At Inspira Medical Center Vineland, employees and physicians have met the requirements to become an Accredited Chest Pain Center, affirming that the proper staff, equipment, processes and expertise are available to provide rapid evidence-based care to patients exhibiting signs of a heart attack. American College of Surgeons Commission on Cancer - Inspira Health Network's Frank & Edith Scarpa Regional Cancer in Vineland is designated as a Community Hospital Comprehensive Cancer Program by the American College of Surgeons Commission on Cancer (CoC). Additionally, IMC Vineland has again been awarded the Outstanding Achievement Award. American Heart Association (AHA) Fit Friendly Company and Worksite Innovation Awards - Inspira Health Network was recently recognized as a Platinum-Level Fit-Friendly Worksite by the American Heart Association (AHA) for helping employees eat better and move more. American Heart Association Community Innovation Award - The American Heart Association recognized Inspira Health Network with the 2014 Community Innovation Award for its Performance Improvement Training (P.I.T.) program, which focuses on better performance and better living for children of all ages. The program, based at Inspira Fitness Connection Vineland, began in 2010 to enhance performance, strength and life skills in the youth of the community through sport specific training and formative fitness for both the competitive and non-competitive athlete. Over the past year, the program had more than 150 children in the community participate and also worked with 3 local teams. The program works to extend nutritional care to patients beyond their hospital stay who are considered at risk for malnutrition and at a greater risk of readmission. The Community Innovation Award recognizes organizations for their innovative approaches to promoting healthy living throughout the community. Inspira is one of only 37 organizations from across the country to be presented with this award. American Nurses Credentialing Center Magnet Facility - Inspira Health Network's medical centers in Elmer and Vineland and its health center in Bridgeton have been re-designated by the American Nurses Credentialing Center as Magnet facilities for quality patient care, nursing excellence and innovations in professional nursing practice. By receiving Magnet re-designation, Inspira maintains its status within an elite group of hospitals across the nation. Only 24 hospitals in New Jersey have been awarded Magnet recognition. Baby Friendly Award - Inspira Medical Center Elmer has been awarded with the international recognition as a Baby-Friendly birth facility. The Maternity Care team at Elmer is the first in New Jersey as well as the Delaware Valley to earn this prestigious award. The designation is awarded by Baby-Friendly, USA, an accrediting body that implements the United Nations Children's Fund (UNICEF) and World Health Organization (WHO) Baby-Friendly Hospital Initiative to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Beacon Award for Excellence in Critical Care - Inspira Medical Centers, Inc. has received four Beacon Awards for Excellence in Critical Care as follows: - Inspira Medical Center Vineland Cardiac ICU (Gold) - Inspira Medical Center Elmer ICU (Gold) - Inspira Medical Center Vineland ICU (Gold) - Inspira Medical Center Vineland Surgical ICU (Silver) National Accreditation Program for Breast Centers - Inspira Health Network's Breast Center Vineland was recently awarded a three-year accreditation from the National Accreditation Program for Breast Centers. The accreditation, administered by the American College of Surgeons, is presented to those organizations that have voluntarily committed to provide the highest level of breast care and that successfully undergo a rigorous evaluation and review of their performance. ACR Accreditation in Radiation Oncology - The Inspira Frank and Edith Scarpa Regional Cancer Pavilion's Department of Radiation Oncology has been awarded a three-year term of accreditation in radiation oncology as the result of a recent review by the American College of Radiology (ACR). Radiation oncology (radiation therapy) is the careful use of high-energy radiation to treat cancer. A radiation oncologist may use radiation to cure cancer or to relieve a cancer patient's pain. Accredited ISO 9001:2008 by DNV Healthcare - Inspira Health Network is the second health care system in New Jersey to receive ISO 9001:2008 certification for achieving quality objectives based on international standards at its Medical Centers in Elmer and Vineland and its Health Center in Bridgeton. Achieving ISO 9001:2008 certification is a requirement of the facilities' DNV Healthcare accreditation which aids the organization's leadership and staff in continuously evaluating and improving the care provided to the region. a hospital accreditation program approved by the U.S. Centers for Medicare and Medicaid Services (CMS) that integrates the ISO 9001 Quality Management System. The DNV program requires hospitals to evaluate the continuum of patient care throughout its facilities and take measured steps to improve when it is warranted. 2014 Most Wired Health System Award - Inspira Health Network has been recognized with the 2014 Most Wired Health System Award from Health Forum, an American Hospital Association information company, for implementing new technologies aimed at connecting providers with patients and improving patient care. Spirit of Women Premier Hospital - Inspira was named a Spirit of Women Premier Hospital for its commitment to women's health and well-being. Last year, hundreds of women attended Spirit of Women events that blend fun and learning for a great time out. Best Hospital IT Department - Inspira Health Network's Information Systems Department was recently named one of five "Best Hospital IT Departments" in the nation by Healthcare IT News. The honor recognizes hospital IT departments who have the highest level of employee satisfaction within their departments. In total, more than 190 IT departments across the nation were nominated. In order to determine the best departments to work in, Healthcare IT News required that at least 50% of employees in each nominated department complete an online survey measuring their overall job satisfaction. Inspira was ranked third in the large hospital category, with more than 90 IT employees working for the health network. Best Nursing Team Award - Inspira Medical Center Vineland's cardiac catheterization laboratory team was recently recognized by ADVANCE for Nurses with the 2014 Best Nursing Team award. The nursing team is one of only four hospital teams in the entire Mid-Atlantic and Lower Great Lakes region to be honored as a regional nursing team of the year. The award recognizes the initiative, adaptability, expertise, outreach and teamwork that the nursing team demonstrated this past year as they worked to become state approved to perform life-saving emergency angioplasty (PCI) for heart attack victims in the area. ROWAN SOM MAJOR CLINICAL AFFILIATION ==================================== The Rowan University School of Osteopathic Medicine has designated IMC as a major clinical affiliate of the medical school. This partnership supports Inspira Medical Center Vineland's residency programs that will help to address the anticipated physician shortage in our region by training new doctors' right here in our community. This partnership recently expanded to include behavioral health programs in Cumberland, Gloucester and Salem counties. MEDICAL AND SPECIALTY SERVICES ============================== IMC is a nonprofit healthcare organization that provides a broad spectrum of inpatient care and ambulatory care. In addition to its general medical, surgical, obstetrical, gynecological, pediatric and psychiatric services, IMC offers a wide array of diagnostic and treatment modalities and various specialty services. Comprehensive acute care services are provided at Inspira Medical Center Vineland and Inspira Medical Center Elmer. Each medical center campus offers 24-hour services in radiology, laboratory, cardio-pulmonary and emergency medicine. Staff is on call after hours and on weekends for surgical services and certain diagnostic services such as nuclear medicine and ultrasound. The Inspira Health Center Bridgeton is home to a satellite emergency department that serves patients 24 hours a day, seven days a week, a 10-bed hospice inpatient center and a variety of behavioral health and outpatient services. SERVICES AND PROGRAMS ===================== Inspira offers a variety of significant services and programs, several of which are described below. Inspira Medical Center Elmer ---------------------------- Inspira Medical Center Elmer is a 96-bed primary healthcare provider in Southern New Jersey. In the last several years, Elmer has undergone some renovations including the opening of their intensive care unit; a modern surgical services department; a new child/adolescent intensive outpatient mental health unit; a new maternity care center; a new physician care center, a free-standing outpatient physical therapy site; a redesigned operating room, emergency room, lobby and registration area. Inspira Medical Center Vineland ------------------------------- Located on a 62.5-acre campus in Vineland, Inspira Medical Center Vineland is a 491,989 square-foot, 276-bed facility, which opened in August 2004. In addition to offering comprehensive medical technologies and services, the Inspira Medical Center Vineland's design also emphasizes patient comfort. Inpatient Care Centers of Excellence ------------------------------------ Inspira Medical Center Vineland operates four inpatient care centers: 1) Women's & Children's Center of Care - Home-like labor and delivery suites 2) Surgical Center of Care - 10 operating suites, a modern ICU/CCU and rehabilitation services 3) Medical Center of Care - Acute, ICU and post-ICU, dialysis, chemotherapy and medical infusion services 4) Cardiology Center of Care - 37 bed cardiac acute care unit, ICU and post-ICU and cardiopulmonary unit The inpatient care centers allow for the co-location of like acute and critical care units. The surgical intensive care unit is adjacent to the surgical step-down/post-intensive care unit. This step-down unit is likewise adjacent to the surgical acute care beds. As the patient's illness or injury becomes less acute, the patient can move down this continuum of care without ever physically leaving the inpatient care centers. This configuration also simplifies physicians' rounds. All patient rooms at the Inspira Medical Center Vineland are single patient rooms which increases patient privacy, confidentiality and comfort. The use of private rooms allows for more efficient care and reduces the risk of patients contracting a nosocomial infection during their stay. Also, given the increase in patient acuity and the corresponding increase in demand for more equipment, private rooms provide more space for specialized equipment and caregivers at the bedside. Rooms at Inspira Medical Center Vineland are designed with viewing windows along the hallway allowing patients to be observed by medical personnel without being disturbed.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	TECHNOLOGY ========== A few of Inspira Health Network's IT initiatives include: - Patient monitoring from one central location. - Expanded surgical capabilities in 2014 and performed first single-site robotic hysterectomy using the DaVinci robotic surgery system. This advanced surgical option provides patients virtually scarless results. - Picture Archiving and Communications Systems' (PACS) imaging equipment electronically stores x-rays, cat scans or other digital images. Physicians are able to view an image at any terminal at Inspira Medical Center Vineland or in their office. - Inspira Medical Center Vineland has incorporated wireless technology that includes handheld devices with instant messaging that allow nurses to monitor patients and allow physicians to review diagnostic test results more rapidly. - Sophisticated nurse call systems allow physicians, nurses and other staff to quickly find patient nurses. While this nurse call system improves inter-staff communications, it also improves patient care by reducing the time required to get the necessary staff and resources to the bedside. - A pneumatic tube system carries lab tests, pharmaceuticals and patient charts throughout Inspira Medical Center Vineland. This tube system, hidden behind the walls, greatly improves the turnaround time for lab tests and new drug orders. - The medication administration check system ensures patient safety by allowing nurses to scan barcodes at the bedside positively linking the prescribed drugs with the intended patients. - A tele-neurology program gives Emergency Room patients quick access to board-certified neurologists, 24/7, and allows emergency room staff to provide rapid stroke diagnosis at a moment's notice. - Tomosynthesis or 3D Mammography is performed at three Inspira locations. This state-of-the-art breast imaging technique provides clearer images, greater accuracy, and earlier detection of small lesions in the breast. - Digital Mammography - Inspira Medical Center Elmer has made strides increasing Salem County residents' access to digital mammography, targeting younger women who have a family history of breast cancer and African American women over the age of 50. IMC created an educational DVD called 'two good reasons for a mammogram; a mother and son's story' to reinforce the notion that preventative care and a woman's health directly affect her family. - Surgiboards, an innovative patient tracking system, brings a new level of efficiency to the surgical services department at Inspira Medical Center Vineland providing real-time monitoring and instant communications to staff in key locations throughout surgical services. - A Health Information Exchange which allows providers, including hospitals, physician practices, long-term care facilities, rehabilitation centers and home health services, to access patient information from a secure electronic network in order to provide care faster - Expanded computerized physician order entry system initiative to improve efficiency, reduce costs and, most importantly, enhance patient safety. - Development of a Patient Portal which provides patients with electronic access to their health records, including test results, treatment plans, medications and follow-up care instructions - A process for gathering and analyzing data from all of the network's information systems to develop customized programs of care that best meet the needs of patients - Inspira added a new ultraviolet machine to its routine of deep cleaning and disinfecting with bleach. Pulses of blue light stream from its circle of tall vertical light bulbs. Ultraviolet light kills all sorts of bacteria and viruses in the room, particularly Clostridium difficile, or C. diff. The bacteria secrete toxins that cause diarrhea or inflammation of the colon. When the robot has killed all the bacteria, sensors placed around the room shut off the machine. - Inspira has been working on the Quiet Hospital Initiative in partnership with both Practice Unite and Future Mobility to create both a mobile patient application and a mobile clinician application on one single platform. This new communications tool will be integrated with the hospital's existing clinical systems. This will allow staff to address communication with patients and physicians in a more efficient manner and will help reduce overhead noise. CANCER SERVICES =============== The Inspira Frank and Edith Scarpa Regional Cancer Pavilion, which originally opened at Inspira Medical Center Vineland in May 2005 and underwent a $12 million expansion in 2008-2009. The expansion nearly triples the size of the cancer treatment facility, creates a one-stop experience for cancer patients, expands clinical drug research, helps recruit physicians with cancer specialties, consolidates services and brings medical oncology and radiation oncology under one roof to provide the latest and highest quality cancer care in the region. In 2014, physical space in Inspira Medical Center Vineland's Breast Imaging Center, as well as the Scarpa Cancer Pavilion was renovated to expand services and to make the areas more inviting and private. Experienced radiation oncologists and staff provide state-of-the-art treatment including IMRT and IGRT, with the latest high-dose-rate treatments. Two linear accelerators in the facility perform advanced radiation therapy treatments, Intensity Modulated Radiation Therapy (IMRT), PET/CT imaging and High Dose Rate (HDR) radiation treatment. Staffing is provided by a multidisciplinary team including board-certified physicians, medical oncologists, palliative care specialists, radiation oncologists, behavioral health counselors, breast surgeon, OCN and AOCN nurses. In 2014, a new stereotactic breast biopsy unit, located in the Breast Imaging Center, was purchased for image-guided core needle breast biopsies. This purchase contributes to increased flexibility and capacity for breast biopsies for women with abnormal mammograms. Inspira replaced its superficial treatment unit with a brand new Xtrahl system, which provides increased flexibility to treat more types of skin cancers and other keloids. Patients with metastatic prostate cancer can now receive intravenous radiopharmaceutical therapy to help control painful bone metastases. In April 2014, Inspira's Frank and Edith Scarpa Regional Cancer Pavilion launched its Lung Cancer Screening Program for Early Detection. Inspira's lung screening program follows evidence based guidelines established by the National Lung Cancer Screening Trial, which found that screening for lung cancer using low dose CT scans can lower the chance of dying from lung cancer by 20%. Inspira has since been designated a Screening Center of Excellence by the Lung Cancer Alliance for its ongoing commitment to responsible lung cancer screening. COMPREHENSIVE CARDIOVASCULAR SERVICES ===================================== Inspira offers comprehensive cardiac services, including diagnostic cardiac catheterization and emergency cardiac catheterization with angioplasty and stenting, also known as emergency PCI, at Inspira Medical Center Vineland. IMC Elmer provides enhanced external counter-pulsation (EECP), a non-invasive therapy to treat persistent angina. Inspira Medical Centers Elmer and Vineland also provide quality cardiac rehabilitation services and are designated by the state as primary stroke centers. A CENTER OF EXCELLENCE FOR BARIATRIC SURGERY ============================================ Inspira Medical Center Vineland has been named a Bariatric Surgery Center of Excellence for the third consecutive time by the American Society for Metabolic and Bariatric Surgery (AMSBS). The ASMBS Center of Excellence designation recognizes surgical programs with a demonstrated track record of favorable outcomes in bariatric surgery. To earn a center of excellence designation, the Inspira Medical Center Vineland underwent a series of site inspections during which all aspects of the program's surgical processes were closely examined and data on health outcomes was collected. BREAST IMAGING CENTER OF EXCELLENCE =================================== Inspira Medical Center Vineland has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR). The designation is awarded to breast imaging centers that have achieved excellence by seeking and earning accreditation in all of the ACR's voluntary, breast-imaging accreditation programs and modules, in addition to the mandatory Mammography Accreditation Program.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	LUNG CANCER SCREENING CENTER OF EXCELLENCE ========================================== Inspira Medical Center Vineland was recently designated a Lung Cancer Screening Center by the American College of Radiology (ACR). The ACR Lung Cancer Screening Center designation is a voluntary program that recognizes facilities that have committed to practice safe, effective diagnostic care for individuals at the highest risk for lung cancer. In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography (CT) in the chest module, as well as undergo a rigorous assessment of its lung cancer screening protocol and infrastructure. Also required are procedures in place for follow-up patient care, such as counseling and smoking cessation programs. MATERNAL AND CHILD HEALTH ========================= Hospital-based maternity services are offered at Inspira Medical Center Vineland and Inspira Medical Center Elmer, which both offer modern, private maternity suites where our physicians and nurses provide a safe and positive environment for labor and delivery. IHN also offers the services of midwives. The Women's and Children's Inpatient Care Center is located on the first floor of Inspira Medical Center Vineland and offers a LDRP (labor, delivery, recovery and post-partum) room configuration that permits a mother to choose whether she wishes to have her baby stay in the same room with her during her stay or have family members stay with her. IMC Vineland has 10 private labor/delivery/recovery rooms and 28 private post-partum rooms to encourage family bonding. The maternity care unit at Inspira Medical Center Elmer, which opened in 2003, has 5 private labor/delivery/recovery/postpartum rooms, each with a private bathroom. Four of the rooms offer whirlpools and the fifth room offers expectant mothers one of the region's only water birthing tubs. IMC Elmer also offers comprehensive fetal testing and immunization services; c-section facilities and recovery rooms; breastfeeding and infant care education; and easy access to medical center departments for diagnostic screening. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== Inspira Medical Center Vineland offers advanced care for premature, low birth-weight/critically ill infants as young as 28 weeks gestational age at the Level IIIa Deborah F. Sager Neonatal Intensive Care Unit. The unit is supported 24 hours a day, 7 days a week by neonatologists from Nemours Alfred I. DuPont Hospital for Children. NEUROSURGERY ============ At Inspira Medical Centers Elmer and Vineland, patients are offered the latest minimally invasive surgical treatments for a range of conditions like brain tumors, spine tumors, herniated discs, spinal stenosis, carpel tunnel syndrome, spinal compression fractures and chronic pain by a highly-skilled, fellowship trained neurosurgeon. UROLOGY ======= Our minimally invasive surgery team specializes in surgical procedures that are both the most effective and least invasive to treat a large range of conditions - urologic cancers, benign prostate enlargement, bladder disorders, women's and children's urologic problems, urinary stone disease, reconstructive surgery, male and female sexual dysfunction, and male infertility. ONCOLOGY ======== IMC has recruited physicians to their medical staff that specialize in gynecologic oncology and oncologic breast surgery. These specialized care services were never before available to the members of our community. IMC SPORTS REHABCARE VINELAND ============================= IMC Sports RehabCare is conveniently located within Inspira Fitness Connection Vineland. The dedicated staff works closely with orthopedic surgeons to assist patients with the rehabilitation and treatment of arthroscopic procedures, total joint replacements for hip and knee, intricate hand and foot surgery and specialized spine procedures. The rehab centers new AlterG Anti-Gravity Treadmill introduces technology that "unweights" a user, reducing the impact of walking or running on both muscles and joints. This enables patients to maintain their natural gait while rehabilitating and may even speed the process of therapy. Additionally, Inspira RehabCare has introduced the Nintendo Wii as an adjunct to current and traditional therapies. It enhances the patient experience at the same time creating a fun atmosphere. BEHAVIORAL HEALTH SERVICES ========================== IMC Behavioral Health Services has 59 acute care psychiatric beds at the Inspira Health Center Bridgeton, providing inpatient services for both the adult and child/adolescent populations throughout the Southern New Jersey region. Child & Adolescent Services --------------------------- - Child and Adolescent Intermediate Inpatient Program (ages 5 to 17) - This program offers a complete evaluation and treatment option for children who require longer-term hospitalization. Inspira's 12-bed intermediate care unit in Bridgeton is the area's only experienced long term psychiatric treatment center for inpatient care of this age group. The average length of stay is between 4 to 12 weeks. - Child and Adolescent Partial Hospitalization Program (ages 5 to 17) - The partial hospitalization program provides full treatment including individual, group and family counseling as well as psychiatric assessment. This 14-bed unit offers large, private patient rooms, up-to-date security, a comfort room, a family room and an art room. - Inpatient Program for Children and Adolescents (ages 5 to 17) - This program provides the region with an advanced Children's Crisis Intervention Program for complete inpatient evaluation, diagnosis, and treatment for youth who are in need of immediate treatment. The unit offers group and individual therapy as well as around-the-clock nursing care. - Intensive Outpatient Programs (ages 11 to 17) - Inspira Health Center Bridgeton offers an intensive outpatient program, which assists adolescents in Cumberland & Salem Counties find better pathways to healthy development. - Therapeutic Nursery (ages 3 to 5) - Inspira offers a Therapeutic Nursery Program (ages 3 to 5) to help children early on who struggle with behavioral disorders. We collaborate with all key stakeholders in the child's life to establish individualized treatment goals. Adult Services -------------- - Inpatient Program for Adults - Inspira's short-term care facility and voluntary inpatient programs offer complete inpatient evaluation, diagnosis, treatment and around-the-clock nursing care for adults who are in need of a higher level of treatment. The facility features a 33-bed unit designed to promote healing. - Adult Partial Hospitalization Program - The Adult Partial Hospitalization Program provides services similar to the intensity and scope of inpatient treatment, but with significantly less disruption to the lives of patients and their families. The program is designed for people with symptoms that seriously impact their daily functioning, but who are hoping to avoid hospitalization or are in need of a transition from inpatient to outpatient care. This program follows an acute short-term model of intensive treatment with multiple sessions to span over a few weeks. - Adult Intensive Outpatient Program - The Adult Intensive Outpatient Program provides intensive, structured, clinical services to individuals experiencing significant emotional distress. The program offers the flexibility for clients to attend specialized day or afternoon group therapy. Typically, individuals attend for three hours per day, two or three times per week. The program's psychotherapy and psycho-educational groups provide a safe, caring environment in which individuals can address their mental health needs, gain a better understanding of their illness, improve coping skills and draw on mutual support. The IOP program also provides access to a 24/7 contact line that will connect people with IMC mental health staff. - Wellness and Recovery Outpatient Program - Inspira's Wellness and Recovery Outpatient Program provides treatment for patients with co-occurring disorders in mental and substance abuse. The program provides traditional outpatient services, which include weekly, hour-long individual, family and group sessions along with psychiatric evaluations and individualized medication management.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	INSPIRA HEALTH NETWORK LIFE, INC. ================================= Inspira LIFE is an innovative and comprehensive program now available to older adults and their families in our community. This program is part of the national PACE (Programs of All-inclusive Care for the Elderly) program. LIFE stands for (Living Independently For Elders) and currently serves all of Cumberland County and parts of Salem and Gloucester counties. Inspira LIFE is one of only four programs in the state of New Jersey. This program provides all-inclusive care to eligible participants 55 years and older that meet a nursing home level of care. URGENT CARE CENTERS =================== IMC is proud to offer four Urgent Care Centers. The first of the four is Inspira Urgent Care Tomlin Station located in Mullica Hill, followed by Inspira Urgent Care Glassboro, Inspira Urgent Care Woolwich and Inspira Urgent Care Mantua. Urgent care centers are a convenient way of seeking treatment of a minor injury or illness. The centers are equipped to treat a wide range of minor or non-life-threatening conditions that do not require the life-saving services of a hospital emergency room. COMMUNITY BENEFIT EFFORTS ========================= In its role as the sole not-for-profit acute care provider in Cumberland and Salem Counties, IMC and entities under its parent, provide and participate in a number of services and programs in our community. From community education to participation in community-focused groups, IMC provides a wide range of services. Improve Community Health ------------------------ Inspira Medical Centers provides its neighbors with many programs and services that help improve the health of the community. Examples of some of these programs and services are: - Cancer Services - Inspira Frank and Edith Scarpa Cancer Center offers a number of outreach services, which provide support and education in the community. IMC's Breast Cancer Bridge Program, Men's Cancer Support Group and Patient Navigators all serve as healthcare advocates, helping patients navigate through their cancer journey. As a Fox Chase Cancer Center partner, IMC provides leading-edge cancer care through national clinical trials, which focus on cancer treatment, diagnostic and prevention methods. IMC has the opportunity to recruit a large amount of patients for Fox Chase's newest clinical trials, providing local access to the latest strategies against cancer. - Health Information - Access to quality health information is important and IMC provides a variety of healthcare information to the community on its website and through publications to the general public. The community has monthly access to IMC medical experts through partnerships with the local newspapers featuring monthly sections like "Ask the Doctor" and "Healthline", which allow readers to submit questions and receive responses about important healthcare issues online or via fax. IMC also reaches out to the community through the newspapers monthly "Health Connection" publication, which contains news and information about local health issues, options, tips, resources, support groups and more. "Family & Friends" is a quarterly external publication that offers health information to promote healthy living, heighten awareness of health issues, recognize common symptoms of disease and encourage medical attention and treatment. IMC's website offers a wealth of health information to the community including free access to Look, Listen and Learn, an online library of educational videos covering a variety of medical conditions and procedures. In addition, IMC offers two e-newsletters, "Health E You", a healthy living newsletter, and the "Cancer E-newsletter". A free subscription to each is available through Inspira's website. - Garden AHEC Programs - Through academic and community partnerships, Garden AHEC provides health career recruitment programs and increases access to healthcare in medically underserved areas. Garden AHEC addresses healthcare workforce needs by introducing students and adults to healthcare career opportunities, establishing community-based training sites for medical students and providing continuing education programs for local healthcare professionals. It's fundamental purpose is to improve access to quality healthcare in medically underserved areas and to underserved populations in its service area. By working to recruit, train and maintain local healthcare workforce, Garden AHEC addresses deficiencies in access to primary and preventive care services in South Jersey. Partnering with local community health education and improvement initiatives, along with other programs at Inspira Health Network, are just some of the ways we are working with community partners to improve the health and well-being of our neighbors. - Health Fairs and Screenings - IMC also reaches out to those in our community who do not regularly come through the doors of our medical centers. IMC reaches out to a variety of local employers by participating in on-site health fairs and events to offer valuable health information to our neighbors. In addition, IMC hosts senior luncheon classes and senior health education days, which include flu shots and educational sessions. In recognition of stroke awareness month, IMC hosts a stroke awareness education & screening day which includes free educational sessions, blood pressure checks and stroke screening tests. IMC's annual Spirit of Women Health Screening Day brings a myriad of health services and education together in one central location at Inspira Medical Center Vineland. At the event, attendees receive a range of free health screenings, including blood pressure and pulse oximetry, body mass index, heart disease risk assessment, skin cancer (face), foot and wound care, behavioral risk assessment, sleep apnea assessment, step test (resting heart rate), heel bone density and more. In addition, fun group activities are held, including yoga, line dancing and cooking demonstrations, as well as a relaxation room and meditation sessions. - NJCEED - IMC is Cumberland County's lead agency for the New Jersey Cancer Education and Early Detection Program (NJCEED), which provides comprehensive cancer outreach, education and free screenings to underserved and uninsured residents who might otherwise not have access to these important diagnostic screening services. In 2014, 452 breast, 210 cervical, 124 colorectal and 30 prostate screenings were provided through the grant. IMC also has a dedicated staff who go out into the community to speak about the availability of free screenings and the CEED program. - Support Groups - To help address social, psychological or emotional issues related to diseases and health issues, IMC offers a variety of free support groups that include, but are not limited to, women's cancer, diabetes, cardiopulmonary health, prostate cancer, smoking cessation, stroke and five levels of bariatric support. Additionally, IMC donates the use of space in its facilities for external nonprofit organizations to hold support group meetings for substance abuse such as Alcoholics Anonymous and Narcotics Anonymous. - Support Services - Staff members of IMC's Patient Business Services department, in addition to providing financial counseling to individuals, make frequent visits to various community groups and social service agencies, educating them on the charity care options and financial assistance programs available. In addition, a significant level of charity care, financial assistance, transportation assistance and language assistance services are provided for the underserved and vulnerable populations. - Training Classes - IMC offers a wealth of educational programs designed to promote a safe and healthy lifestyle. Training classes are regularly available on such topics as childbirth, breast-feeding, newborn care, understanding diabetes, CPR (Cardiopulmonary Resuscitation), ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced Life Support), EMS (Emergency Medical Services), SafeSitter (Babysitter Training) and others.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Educate Health Professionals ---------------------------- Inspira Medical Centers offers educational support to both its current health professionals and tomorrows physicians - Garden AHEC Educational Conferences - Garden AHEC (Area Health Education Center) is a program affiliated with the Rowan University School of Osteopathic Medicine which facilitates improved community health outcomes through collaborative initiatives linking needs to educational resources. Targeting the educational needs of primary care providers, nurses, social workers and other allied health professionals in the community, Garden AHEC offers accredited continuing education programs on topics such as autism, dermatology, diabetes, dialysis, infectious diseases, wound care, mental health, childhood obesity, social work, pediatric pharmacology, trauma patient care and treatment, immigration and many others. - Health Professionals Education - Education helps prepare the next generation of healthcare professionals, which is why we strongly support medical education at all academic levels and find innovative ways to inspire young people to pursue careers in a wide variety of medical fields. Community medicine rotations with the Rowan University School of Osteopathic Medicine (Rowan SOM), provides third year medical students a two-week rotation in community-based agencies and organizations to learn about underserved and culturally diverse populations, including barriers to accessing care. Responding to the nursing shortage, IMC offers nursing education programs, externships and internships. IMC medical staff routinely hosts students for job shadowing and student observations. - Residency Programs - IMC has partnered with Rowan School of Osteopathic Medicine to train the next generation of physicians. These medical school graduates work side-by-side with experienced members of the IMC Medical Staff in Podiatry, Sports Medicine, Urogynecology, Critical Care, Obstetrics and Gynecology, Family Medicine, Orthopedic Surgery, Internal Medicine, Traditional Rotating Internship, Emergency Medicine and General Surgery. At the same time, they enhance patient care with the knowledge of the latest treatments and philosophies medicine has to offer. They also bring a level of intellectual curiosity that strengthens our care teams and benefits our patients. In 2014, there were 119 residents on staff. - School Programs on Health Careers - IMC provides educational opportunities and hosts special events, job shadowing and programs to middle and high school students who are interested in pursuing careers in healthcare and medicine. To reach every age group in the community, IMC staff also extends hospitals tours to preschool and first graders, as their primary introduction to the healthcare environment and promotion of healthy lifestyles. - Symposia - IMC is preparing for the healthcare challenges of the future by supporting the continuing education needs of physicians and allied health personnel in the community. Programs are available on the latest advancements and leading-edge research on topics such as cancer, critical care, nephrology, pediatrics and obstetrics. These continuing education opportunities give health professionals and physicians in our community and across the region the ability to meet and discuss important issues within our industry. - Community Needs Assessment - In collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance, Inspira Health Network is working on its 2012-2015 community needs assessment. IMC partnered with over 15 local organizations to form the Cumberland/Salem/Gloucester Health & Wellness Alliance in 2011. Community surveys, focus groups and key informant surveys were conducted to target the most prevalent needs in our community. Through a planned and organized effort, the group is working collectively towards strategies to target these priorities by tapping into the resources of the community and collaborating on initiatives. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. Currently IMC is implementing the identified strategies and tracking their progress. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the network to address the ongoing needs of the community. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================= IMC has both participated in and conducted a number of programs to improve access to healthcare services: - Efficient and Quality Patient Care - As the leading community provider in southern New Jersey, IMC is highly regarded for its quality of care and services in the region. Clinical quality and service excellence remain top strategic initiatives. To further increase the efficiency of patient care, IMC has transitioned to electronic medical records making significant investments in its clinical computer systems. The organization will expand its core quality measures by participating in several regional and national performance improvement programs that will provide benchmarking data and tools for measuring and reporting clinical quality. - Patient Satisfaction - IMC uses a patient satisfaction tool called the Hospital Consumer Assessment of Healthcare Providers Survey (HCAHPS). This standardized survey measures our patients' perceptions about their hospital experience and provides feedback about how we are doing, both good and bad. This assists us to continually make improvements and provide even better care for the community. - National and Regional Initiatives - IMC has been an active participant in national and regional initiatives, including the following: Center for Medicare and Medicaid services: ------------------------------------------ - National "Hospital Compare" Initiative VHA, Inc. Patient Quality and Safety Initiatives: ------------------------------------------------- - Medication Reconciliation Collaborative (IMC - Vineland & Elmer) - Rapid Response Team collaborative (IMC - Vineland & Elmer) - Transformation of the ICU and TICU (IMC - Vineland & Elmer) Institute for Healthcare Improvement (IHI): ------------------------------------------- - Member of the Institute for Healthcare Improvement - 100,000 lives campaign (IMC - Vineland & Elmer) - Member of the Institute for Healthcare Improvement - 5 million lives from harm campaign (IMC - Vineland & Elmer) New Jersey Hospital Association initiatives: -------------------------------------------- - Participants in the NJHA pressure ulcer collaborative (IMC - Vineland & Elmer) - Participants in the NJHA rapid response teams collaborative (IMC - Vineland & Elmer) Community Service and Community Building Programs ================================================= IMC is much more than a healthcare network; it is a community partner dedicated to improving community health and collaborating with other community partners on health initiatives that address the health priorities of the communities it serves. Our partnerships leverage the strength of multiple community organizations while encouraging community-wide collaborative efforts to benefit the community. - Advocacy for Community Health Improvements & Safety - IMC employees, including our President & CEO and Senior Management Group, serve on various government advisory committees and boards for national, state and local organizations to advocate for healthcare reform, bring about changes in regulatory requirements, improve access to healthcare and promote the health status for both the broader community and vulnerable populations through hospital representation to organizations. These include: - Advocates for Children of NJ - American Hospital Association - Cumberland County Children's Youth Council - Cumberland County Healthcare Coalition - Cumberland County Homeland Security County Working Group Committee - Cumberland Inter Agency Coordinating Council - Medical Coordination Center Advisory Council - New Jersey Hospice & Palliative Care Organization - New Jersey Hospital Association - New Jersey Division of Mental Health Services - National Association for Home Care & Hospice - Tri-County Inter-Agency Coordinating Council - Salem County Homeland Security - Southeastern PA Regional Task Force - Southern New Jersey Perinatal Cooperative - Southern Region Children's Coordinating Council - Cumberland/Salem/Gloucester Health & Wellness Alliance
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Community Advisory Committee - IMC hosts the Community Advisory Committee meeting once every quarter. The committee is comprised of local community leaders from various organizations who volunteer their time to come in and receive information on the latest happenings within Inspira Health Network. Towards the end of the meeting there is a question and answer session, during which each community representative is encouraged to bring forward questions from the community it represents. - Economic Development and Community Involvement - The impact our troubled economy has had on healthcare extends beyond the hospital to the well-being of our neighbors. To help address the root causes of health problems such as poverty, homelessness and unemployment the hospital offers the expertise and resources of its healthcare employees as active board members and participants with various community organizations. Additionally, IMC employees, from staff to CEO, participate on the boards of a variety of organizations whose focus is not only of the health needs of the community, but on the overall needs of the community. Some of these organizations include: - American Red Cross South Jersey Chapter - Bridgeton Chamber of Commerce - Bridgeton Rotary Club - CEZ 21st Century Community Learning Centers - Cumberland County Prosecutor's Office - Elmer Rotary Club - Food Bank of South Jersey - Gloucester County Chamber of Commerce - Mayor's Campaign for Healthier Bridgeton, Millville, Vineland - Millville Chamber of Commerce - Ministerial Fellowships of Bridgeton, Millville and Vineland - Salem Chamber of Commerce - Southern NJ Development Council - United Way of Cumberland County - Vineland Rotary Club - Emergency Preparedness - IMC readies itself for catastrophic disaster above and beyond licensure requirements. This includes an internal, formalized hospital emergency response/decon team of dedicated staff who conduct extensive quarterly decontamination training. IMC partners with Offices of Emergency Management, local police and other related agencies to coordinate community-wide mass casualty drills and participates in state sponsored disaster planning drills to rehearse healthcare preparedness for mass casualty disasters and public health emergencies. - Employer Forum - IMC Occupational Health developed this quarterly forum to address, target and discuss medical issues, employee health, safety and wellness of workforce populations with employers throughout Cumberland County. - Environmental Safety - Inspira Medical Centers participates in a Safe Syringe Program that helps the community to safely and responsibly dispose of syringes, needles and lancets generated in the home. This program helps assure a safe environment by providing the community an outlet to properly dispose of medical waste. Each year, community members are provided with sharps containers and are permitted to drop off to IMC where they are properly disposed of. - Extended Care Facility Consortium (ECF) - In 2009, a collaborative group was formed between IMC and the neighboring extended care facilities. The role of the ECF is to facilitate outreach and provide information, services, resources and a continuum of access to care for elderly populations within Cumberland County. - IMPACT (Innovative Model for Preschool and Community Teaming) was developed through collaboration between IMC and the Vineland Board of Education. It provides health and social services, childcare for infants and toddlers, preschool programs and literacy programs that target the needs of the low income residents in Cumberland County. It also addresses issues such as teen pregnancy, teen parenting and early childhood education. Every year, the program makes a positive impact on the lives of thousands of children and their families. IMPACT provides a number of educational opportunities for the community including: * IMPACT Teen Parenting Program provides parenting classes, childcare services, prenatal care and life skills education to teen parents in the Vineland High Schools and promotes lifelong learning and second pregnancy prevention. * IMPACT School Based Youth Services Program (SBYSP) offers health services, tutoring, counseling, recreation and life skills training at the Vineland High School, Vineland Wallace Middle School and Millville High School. * IMPACT Family Outreach Program is an Abbott program which coordinates family outreach and support with social workers who service Abbott preschool providers in Bridgeton, Millville and Vineland. * IMPACT Child Care Program is accredited by the national association for the education of young children and is open to children from 6 weeks to 5 years old with health center services provided on site. In 2014, an average of 57 children were enrolled in the Child Care Program and 50 were enrolled in the Wrap Around Program. * IMC's Family Success Centers in Vineland and Port Norris provide services and programs that connect families with community resources ranging from housing and legal assistance to help obtaining household items and food. The center focuses on 10 core services to strengthen families by providing assistance with obtaining health insurance, selecting physicians, providing workshops that increase positive interaction between parents and children, promoting family literacy, addressing health issues and legal issues such as immigration and other topics relevant to the community. - Improving access to healthcare for uninsured/underinsured - IMC has a proud history of helping uninsured residents get the coverage they need. IMC has worked in collaboration with NJHA (New Jersey Hospital Association) to provide certified application counselors assist community members in accessing the new federal healthcare exchange to apply for health insurance as mandated by the Patient Protection and Affordable Care Act. - Mayor's Campaigns for Healthier Vineland, Millville and Bridgeton - Various IMC staff are active committee members of the Vineland, Millville and Bridgeton Mayor's Campaigns for Healthier Communities. In collaboration with IMC, the local Federally Qualified Healthcare Center (FQHC), CompleteCare Health Network (CCHN) and other collaborative partners, co-host community health fairs, facilitate community outreach events and connect the medically disenfranchised to the appropriate healthcare and social service providers to encourage uninsured residents to enroll in affordable healthcare programs. The committees are dedicated to improving healthcare for Vineland, Millville and Bridgeton residents by making resources available through increased awareness and access. - Medical Explorers Program - In partnership with the Boy Scouts of America, Garden AHEC's Medical Explorers Program provides an opportunity for teens interested in medical careers to interact with physicians and nurses, learn various careers and experience realistic portrayals of specialty areas such as "A Night in the OR." - STEPS for Kids - STEPS for Kids was developed through a collaboration between IMC, the Robert Wood Johnson Foundation and Cumberland/Cape/Atlantic YMCA, to reduce childhood obesity in Vineland and Bridgeton schools by educating boys and girls aged 8 to 12 identified by school nurses with an assessed BMI level at or above the 85th percentile who are at risk for obesity. Parents and children attend 12-week interactive bi-lingual program that focuses on balanced meal plans and simple exercise techniques that help families achieve healthier lifestyles. This program is completely funded and ran by IMC through its Garden AHEC department. - IMC Spirit of Women - Recognizing the uniqueness of women and the influence they hold over the health of their families, IMC is proud to be a participant of the Spirit of Women Program, part of a national movement for women's wellness to promote health and motivate women to make positive changes in their lives. Some of the group's events included Day of Dance, Women's Health Screening Day and Girls Night Out. IMC Spirit of Women also holds a quarterly seminar series, each focusing on specific issues concerning women's health. - Auxiliaries - The Inspira Health Network Auxiliary Cumberland County and the Inspira Health Network Auxiliary Elmer hold various events throughout the year like the Princess Party, Calendar Raffle and Yard Sale. In 2014 they donated $85,092 to Inspira Health Network. - Volunteers Program - Whether greeting visitors at the front desk or comforting patients at their bedside, volunteers play an important role in IMC's tradition of compassionate care. Our successful volunteer program consists of adults and teens with age ranges from 14 to 96 who provide assistance in a vast array of areas such as accounting, education, public relations, laundry, emergency room, surgical services, pediatrics, nursing and more. In 2014, 818 dedicated and generous volunteers donated more than 73,620 hours of service throughout the health net
CORE FORM, PART III; LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTION 4	THE ORGANIZATION AMENDED ITS BYLAWS DURING 2014 TO INCLUDE THE FOLLOWING SIGNIFICANT CHANGES: - CHANGED THE NUMBER OF DIRECTORS TO ALLOW BETWEEN 9 AND 17 AT LARGE VOTING DIRECTORS; - CHANGED TO PROVIDE 5 VOTING EX-OFFICIO DIRECTORS AND 3 NON-VOTING EX-OFFICIO DIRECTORS; AND - THE MANNER AND METHOD OF ELECTION OF THE PRESIDENT/CHIEF EXCEUTIVE OFFICER WAS CHANGED TO PROVIDE THE SOLE MEMBER SHALL HAVE THE SOLE AUTHORITY TO DO SO.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	INSPIRA HEALTH NETWORK, INC. ("network") IS THE SOLE MEMBER OF THIS ORGANIZATION. network HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11b	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED FOR REVIEW TO EACH MEMBER OF THE NETWORK'S AUDIT/FINANCE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S AUDIT/FINANCE COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH MEMBER OF THE NETWORK'S AUDIT/FINANCE COMMITTEE AND FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND NETWORK'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS WHICH IS THEN PRESENTED TO THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. NETWORK'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN OFFICERS AND/OR BOARD OF DIRECTOR MEMBERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET TRANSFER TO JUNO ASSURANCE, LTD.; A RELATED ORGANIZATION - ($7,300,000); - FORGIVENESS OF DEBT (INSPIRA HEALTH MANAGEMENT, INC.); A RELATED ORGANIZATION - ($8,000,000); - NET TRANSFER FROM INSPIRA MEDICAL CENTER WOODBURY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $801; - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY AND EQUIPMENT - $5,000; - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY TRUST; TEMPORARILY RESTRICTED $89,000; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($9,000); - OTHER DECREASES IN TEMPORARILY RESTRICTED NET ASSETS - ($1,000); AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - $101,000.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS INSPIRA HEALTH NETWORK, INC. ("NETWORK"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE NETWORK'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTERS, INC. AND INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, INC. FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
CORE FORM, PART XI; QUESTION 3	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) INSPIRA HOMECARE & HOSPICECARE INC 333 IRVING AVENUE BRIDGETON,NJ08302 22-6067549	HOSPICE SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK		No
(2) INSPIRA HEALTH NETWORK INC 333 IRVING AVENUE BRIDGETON,NJ08302 22-2508425	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	N/A		No
(3) INSPIRA HLTH NTWK FDN CUMBERLANDSALEM 333 IRVING AVENUE BRIDGETON,NJ08302 22-3746758	SUPPORT NTWK	NJ	501(C)(3)	509(A)(3)	IMC	Yes
(4) INSPIRA HEALTH NETWORK LIFE INC 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 26-4827936	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK		No
(5) INSPIRA MEDICAL CENTER WOODBURY INC 509 NORTH BROAD STREET WOODBURY,NJ08096 22-1820210	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK		No
(6) INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY 509 NORTH BROAD STREET WOODBURY,NJ08096 22-2333409	SUPPORT IMCW	NJ	501(C)(3)	509(A)(1)	IMCW		No
(7) TRI-COUNTY CARDIOVASCULAR SERVICES PC 509 NORTH BROAD STREET WOODBURY,NJ08096 45-4199382	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK		No
(8) INSPIRA HEALTH CONNECTIONS PC 509 NORTH BROAD STREET WOODBURY,NJ08096 45-4203973	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK		No
(9) CUMBSALEMGLOUC HLTH&WELLNESS ALLIANCE 2950 COLLEGE DRIVE SUITE 1F VINELAND,NJ08360 45-3613336	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BPOC LP 333 IRVING AVENUE BRIDGETON,NJ08302 22-2956029	REAL ESTATE	NJ	N/A
(2) OAK & MAIN SURGICTR 907 NORTH MAIN ROAD VINELAND,NJ08360 22-3532371	HEALTHCARE SVCS.	NJ	IMC	RELATED	68,177	416,245		No	0		No	85.000 %
(3) GLOUC CTY SURG CTR 163 BRIDGETON PIKE BLDG B MULLICA HILL,NJ08062 26-1157885	HEALTHCARE SVCS.	NJ	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) INSPIRA HELP SERVICES INC PO BOX 126 SALEM,NJ08079 22-2823028	HEALTHCARE SVCS.	NJ	N/A	C CORP.					No
(2) INSPIRA HEALTH MANAGEMENT CORPORATION 333 IRVING AVENUE BRIDGETON,NJ08302 22-2502241	HEALTHCARE SVCS.	NJ	N/A	C CORP.					No
(3) INSPIRA HEALTH NETWORK MEDICAL GROUP PC 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 22-5745047	HEALTHCARE SVCS.	NJ	IMC	C CORP.	23,212,785	3,632,955	100.000 %	Yes
(4) JUNO ASSURANCE LTD AON HOUSE 4TH FLOOR PEMBROKE HM 08 BD	FINANCIAL VEHICLE	BD	N/A	FOREIGN CORP.					No
(5) INSPIRA HEALTH NETWORK URGENT CARE PC 201 TOMLIN STATION ROAD MULLICA HILL,NJ08062 45-2900402	HEALTHCARE SVCS.	NJ	IMC	C CORP.	2,786,175	1,064,811	100.000 %	Yes
(6) RED BANK DEVELOPMENT CORPORATION 509 NORTH BROAD STREET WOODBURY,NJ08096 22-2814053	HEALTHCARE SVCS.	NJ	N/A	C CORP.					No
(7) INSPIRA HOMECARE SERVICES INC 509 NORTH BROAD STREET WOODBURY,NJ08096 22-3479390	HEALTHCARE SVCS.	NJ	N/A	C CORP.					No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) INSPIRA HEALTH NETWORK INC	D	34,004,794	COST
(2) INSPIRA HEALTH NETWORK INC	E	35,530,886	COST
(3) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM	D	1,409,619	COST
(4) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM	E	1,574,192	COST
(5) INSPIRA HEALTH NETWORK URGENT CARE PC	D	630,622	COST
(6) INSPIRA HEALTH NETWORK URGENT CARE PC	E	108,422	COST
(7) INSPIRA HEALTH NETWORK FDN CUMBERLANDSALEM	C	397,500	COST
(8) INSPIRA HEALTH NETWORK FDN CUMBERLANDSALEM	O	485,906	COST

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V

THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. INSPIRA MEDICAL CENTERS, INC. ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT CONTRIBUTE TO THE IMPROVED HEALTH AND WELL-BEING OF ALL IT SERVES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	5,778
6	Total number of volunteers (estimate if necessary) .............	6	544
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	114,214
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-24,908

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,476,002	5,981,365
9	Program service revenue (Part VIII, line 2g) .........	397,091,945	423,296,563
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,842,138	12,575,186
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,702,099	1,462,787
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	412,112,184	443,315,901
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	220,502	95,241
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	220,751,022	216,505,001
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	168,897,737	173,122,407
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	389,869,261	389,722,649
19	Revenue less expenses. Subtract line 18 from line 12.......	22,242,923	53,593,252
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	728,720,153	791,753,000
21	Total liabilities (Part X, line 26).............	348,243,065	370,430,859
22	Net assets or fund balances. Subtract line 21 from line 20.....	380,477,088	421,322,141

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 27,002,458 including grants of $ 0 ) (Revenue $ 20,977,136 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 12,735 OPERATING ROOM CASES DURING 2014. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 13,654,524 including grants of $ 0 ) (Revenue $ 26,777,109 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL ACUTE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 40,305 INPATIENT DAYS DURING 2014. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 12,617,494 including grants of $ 0 ) (Revenue $ 43,291,037 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION EXPERIENCED 106,834 EMERGENCY DEPARTMENT VISITS DURING 2014. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 297,488,443 including grants of $ 95,241 ) (Revenue $ 332,251,281 )
4e	Total program service expenses350,762,919

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	10,654,148	0	2,082,007

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		397,500
e	Government grants (contributions)1e		4,683,085

f	All other contributions, gifts, grants, and similar amounts not included above1f		900,780

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			5,981,365
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	414,019,032	414,019,032
b	OTHER HEALTHCARE RELATED REVENUE		812300	9,277,531	9,163,317	114,214
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			423,296,563
3	Investment income (including dividends, interest, and other similar amounts).......			12,565,452			12,565,452
4	Income from investment of tax-exempt bond proceeds..			9,734			9,734
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	1,273,162
b	Less: rental expenses	1,771,218
c	Rental income or (loss)	-498,056	0
d	Net rental income or (loss).......			-498,056			-498,056
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA/DIETARY		900099	1,497,861			1,497,861
b	GIFT SHOP		453220	462,982			462,982
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,960,843
12	Total revenue. See Instructions......			443,315,901	423,182,349	114,214	14,037,973


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			12,934	1	12,934
2	Savings and temporary cash investments .........			109,022,241	2	110,114,167
3	Pledges and grants receivable, net ...........			461,562	3	711,720
4	Accounts receivable, net .............			43,061,087	4	47,914,046
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			5,027	7	0
8	Inventories for sale or use ..............			4,209,184	8	4,285,850
9	Prepaid expenses and deferred charges ..........			4,647,412	9	6,358,014
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	517,075,233
b	Less: accumulated depreciation .....	10b	282,217,144	237,558,718	10c	234,858,089
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			281,309,732	13	295,456,870
14	Intangible assets ...............			1,431,411	14	1,392,843
15	Other assets. See Part IV, line 11 ...........			47,000,845	15	90,648,467
16	Total assets. Add lines 1 through 15 (must equal line 34)......			728,720,153	16	791,753,000
17	Accounts payable and accrued expenses .........			75,030,537	17	79,864,000
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			158,517,048	20	154,366,551
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			30,752,570	23	24,925,234
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			83,942,910	25	111,275,074
26	Total liabilities. Add lines 17 through 25.........			348,243,065	26	370,430,859
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			374,092,088	27	414,741,141
28	Temporarily restricted net assets ...........			3,767,000	28	3,862,000
29	Permanently restricted net assets ...........			2,618,000	29	2,719,000
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			380,477,088	33	421,322,141
34	Total liabilities and net assets/fund balances ........			728,720,153	34	791,753,000

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No